Individual provider · Type 1 NPI

Christine Nieroda Clancy, CRNP

Gerontology Nurse Practitioner · Philadelphia, PA

NPI number 1487677084 Active

Practice location

211 S. 9th Street, Suite 600
Philadelphia, PA 19107

Call (215) 955-1925 Map

Fax (215) 928-3160

Other practice locations

  • 225 E City Ave, Suite 109, Bala Cynwyd, PA 19004-1704 · (215) 503-3838
  • 225 E City Ave, Suite 109, Bala Cynwyd, PA 19004-1704 · (215) 503-3838

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XVP004645C (PA)
Primary Care Nurse Practitioner 363LP2300XVP004645C (PA)
Gerontology Nurse Practitioner Primary 363LG0600XVP004645C (PA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1487677084

Christine Nieroda Clancy, CRNP's National Provider Identifier is 1487677084, issued on Jul 25, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 25, 2018.