Individual provider · Type 1 NPI

Kelly Marie Henritzy, CRNP-PC

Pediatric Nurse Practitioner · Exton, PA

NPI number 1902783202 Active

Practice location

101 Arrandale Blvd Ste 103
Exton, PA 19341-2503

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP033526 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1902783202

Kelly Marie Henritzy, CRNP-PC's National Provider Identifier is 1902783202, issued on Aug 19, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Exton, PA. The record was last updated on Aug 19, 2025.