Individual provider · Type 1 NPI

Nina Medina, CRNP

Nurse Practitioner · Philadelphia, PA

NPI number 1487526869 Active

Practice location

1101 Chestnut St Fl 8
Philadelphia, PA 19107-3612

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	SPO32400 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1487526869

Nina Medina, CRNP's National Provider Identifier is 1487526869, issued on Sep 23, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 23, 2025.