Individual provider · Type 1 NPI

Kathryn L. Chicano, CRNP

Adult Health Nurse Practitioner · Philadelphia, PA

NPI number 1477561025 Active

Practice location

3900 Woodland Ave
Philadelphia, PA 19104

Mailing address

814 Caledonia St
Philadelphia, PA 19128-1103

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XSP004328C (PA)
Nurse Practitioner 363L00000XSP004328C (PA)
Adult Health Nurse Practitioner Primary 363LA2200XSP004328C (PA)

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About NPI 1477561025

Kathryn L. Chicano, CRNP's National Provider Identifier is 1477561025, issued on Aug 3, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on May 21, 2018.