Individual provider · Type 1 NPI
Nicole Destefano, CRNP
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1982434908
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP030151 (PA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP030151 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1982434908
Nicole Destefano, CRNP's National Provider Identifier is 1982434908, issued on Aug 5, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 25, 2026.