Individual
KELLY ROBIN DURANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
433 KOMEN CT., COLLEGEVILLE, PA 19426
(267) 980-3891
Mailing address
433 KOMEN CT., COLLEGEVILLE, PA 19426
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017277
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2016
Last updated
05/31/2017
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