Individual
KRISTA KANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, RN
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 713-7144
Mailing address
4101 ORCHARD LN, PHILADELPHIA, PA 19154-4417
(215) 713-7144
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN598267
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ01060400
NJ
363LP0200X
Pediatric Nurse Practitioner
SP012776
PA
Other
Enumeration date
02/26/2013
Last updated
09/27/2021
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