Individual provider · Type 1 NPI
Mary Bridget Kastl, CRNP
Family Nurse Practitioner · Philadelphia, PA
NPI number
1780050260
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Fax (215) 590-3500
Mailing address
3401 Civic Center Blvd # 11300-11
Philadelphia, PA 19104-4319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP015818 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1780050260
Mary Bridget Kastl, CRNP's National Provider Identifier is 1780050260, issued on Aug 19, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 21, 2022.