Individual provider · Type 1 NPI
Brianna Spatz, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1417636465
Active
Practice location
3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Mailing address
1500 Locust St Apt 3416
Philadelphia, PA 19102-4341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP026998 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1417636465
Brianna Spatz, CRNP's National Provider Identifier is 1417636465, issued on Jul 17, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 17, 2023.