Individual
KRISTY M PANICHELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
915 OLD FERN HILL RD, BLDG A, STE 5, WEST CHESTER, PA 19380-4269
(610) 696-2850
(610) 696-2579
Mailing address
207 N BROAD ST, 3RD FLOOR, PHILADELPHIA, PA 19107-1500
(610) 696-2850
(610) 696-7159
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP008027
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032162220001
—
PA
Enumeration date
03/07/2007
Last updated
07/14/2023
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