Individual provider · Type 1 NPI
Katherine Anne Iacobellis, CPNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1578816369
Active
Practice location
34th Street And Civic Center Boulevard
Philadelphia, PA 19104
Fax (267) 426-9800
Other practice locations
- 301 Marlton Pike W Ste 1, Marlton, NJ 08053-2076 · (856) 988-9101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ01069300 (NJ) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP012431 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1578816369
Katherine Anne Iacobellis, CPNP's National Provider Identifier is 1578816369, issued on Oct 18, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 22, 2023.