Individual provider · Type 1 NPI

Kelly Amanda Smith, MSN, RN, CPNP-PC/AC

Critical Care Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1639694276 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (215) 590-1000 Map

Mailing address

2040 Market St Apt 1104
Philadelphia, PA 19103-3369

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222XSP017721 (PA)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1639694276

Kelly Amanda Smith, MSN, RN, CPNP-PC/AC's National Provider Identifier is 1639694276, issued on Aug 4, 2017. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 4, 2017.