Individual provider · Type 1 NPI

Kathy L. Wieliczko, MSN, CPNP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1689665952 Active

Practice location

1st Floor Wood Center, 34th & Civic Center Blvd
Philadelphia, PA 19104

Call (215) 590-3440 Map

Mailing address

6 Greenhill Ct
Marlton, NJ 08053-5379

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP059690 (PA)
Pediatric Nurse Practitioner 363LP0200X26NR09657400 (NJ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1689665952

Kathy L. Wieliczko, MSN, CPNP's National Provider Identifier is 1689665952, issued on Nov 4, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 14, 2007.