Individual
KRISTA PANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
561 FAIRTHORNE AVE, PHILADELPHIA, PA 19128-2412
(215) 487-4000
Mailing address
2303 CENTURY LN, CHADDS FORD, PA 19317-8956
(610) 930-3650
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP025498
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/16/2021
Last updated
03/31/2022
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