Individual provider · Type 1 NPI

Abrielle Anderson, MSN, RN, AGACNP-BC

Nurse Practitioner · Philadelphia, PA

NPI number 1619782679 Active

Practice location

7600 Central Ave
Philadelphia, PA 19111-2442

Fax (215) 214-4119

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP032103 (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 1619782679

Abrielle Anderson, MSN, RN, AGACNP-BC's National Provider Identifier is 1619782679, issued on Feb 7, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 1, 2026.