Individual provider · Type 1 NPI
Keren Miodovnik, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1689458903
Active
Practice location
3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP028080 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1689458903
Keren Miodovnik, CRNP's National Provider Identifier is 1689458903, issued on Aug 21, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 23, 2024.