Nino Kavtaradze, CRNP | |
1200 Bustleton Pike Ste 16a3, Feasterville Trevose, PA 19053-4118 | |
(267) 574-5236 | |
Not Available |
Full Name | Nino Kavtaradze |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1200 Bustleton Pike Ste 16a3, Feasterville Trevose, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639574841 | NPI | - | NPPES |
1032670520017 | Medicaid | PA | |
SP015632 | Other | PA | PENNSYLVANIA DEPARTMENT OF STATE |
RN632493 | Other | PA | PENNSYLVANIA DEPARTMENT OF STATE |
33402683 | Other | AMERICAN NURSES CREDENTIALING CENTER (ANCC) |
Entity Name | Practitioner Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497316996 PECOS PAC ID: 0547598658 Enrollment ID: O20190828001439 |
Mailing Address | Practice Location Address |
---|---|
Nino Kavtaradze, CRNP 1200 Bustleton Pike Ste 16a3, Feasterville Trevose, PA 19053-4118 Ph: (267) 223-7738 | Nino Kavtaradze, CRNP 1200 Bustleton Pike Ste 16a3, Feasterville Trevose, PA 19053-4118 Ph: (267) 574-5236 |
Miss Erin Elizabeth Arbosheski, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 161 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-605-3201 | |
Mercy M Abraham, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 157 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-322-0222 | |
Mrs. Anu Benny Vergis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 W Street Rd, Feasterville Trevose, PA 19053 Phone: 215-710-6490 | |
Diana Rose Bailey, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 157 Bustleton Pike # 161, Feasterville Trevose, PA 19053 Phone: 215-322-0222 | |
Miss Kathleen Teresa Murray, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1829 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-364-8412 Fax: 215-364-8633 | |
Elena Zoftis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-436-1420 | |
Mrs. Joann Hunt Stracuzzi, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1829 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-364-8412 |