Individual provider · Type 1 NPI
Ashley Marie Bakke, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1952840308
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
1835 Arch St, Apt 1007
Philadelphia, PA 19103-2712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN646158 (PA) |
| Registered Nurse | 163W00000X | L1-0047415 (DE) |
| Registered Nurse | 163W00000X | 26NR18258500 (NJ) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP017063 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1952840308
Ashley Marie Bakke, CRNP's National Provider Identifier is 1952840308, issued on Feb 17, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 17, 2017.