Individual provider · Type 1 NPI
Nino Kavtaradze, CRNP
Nurse Practitioner · Feasterville Trevose, PA
Practice location
1200 Bustleton Pike Ste 16A3
Feasterville Trevose, PA 19053-4118
Other practice locations
- 11043 Greiner Rd, Philadelphia, PA 19116-2611 · (267) 574-5236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN632493 (PA) |
| Family Nurse Practitioner | 363LF0000X | SP015632 (PA) |
| Nurse Practitioner Primary | 363L00000X | SP015632 (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…
Another provider at this address
Other nurse practitioner providers in Feasterville Trevose
About NPI 1639574841
Nino Kavtaradze, CRNP's National Provider Identifier is 1639574841, issued on Oct 30, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Feasterville Trevose, PA. The record was last updated on Nov 27, 2023.