Individual provider · Type 1 NPI
Anne Marie Kenniston
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1972472694
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
1952 Durfor St Fl 2
Philadelphia, PA 19145-3611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP033120 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1972472694
Anne Marie Kenniston's National Provider Identifier is 1972472694, issued on Oct 31, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 31, 2025.