Individual provider · Type 1 NPI

Alicia Anne Mamienski, CRNP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1962810069 Active

Practice location

3400 Civic Center Blvd
Philadelphia, PA 19104-5127

Mailing address

233 Golf Hills Rd
Havertown, PA 19083-1034

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP013806 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1962810069

Alicia Anne Mamienski, CRNP's National Provider Identifier is 1962810069, issued on Aug 1, 2014. 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 1, 2014.