Individual
KASEY ALEXIS TANKELEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
73 N MAPLE AVE, MARLTON, NJ 08053-1782
(856) 352-6660
Mailing address
15033 ENDICOTT ST, PHILADELPHIA, PA 19116-1530
(267) 690-4879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP033169
PA
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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