Individual provider · Type 1 NPI

Kelly C. Loscalzo, CRNP

Pediatric Nurse Practitioner · Broomall, PA

NPI number 1891116828 Active

Practice location

1991 Sproul Rd, Suite 600 Lawrence Park Center
Broomall, PA 19008-3512

Mailing address

928 S 2nd St
Philadelphia, PA 19147-4203

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP 013391 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1891116828

Kelly C. Loscalzo, CRNP's National Provider Identifier is 1891116828, issued on Dec 17, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Broomall, PA. The record was last updated on May 24, 2016.