KIMBERLY M PAVAN CRNP NPI 1396984340

NPI Information

  • NPI: 1396984340
  • Provider Name: KIMBERLY M PAVAN, CRNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • Address: 51 N 39TH ST
    266 WRIGHT SAUNDERS
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 662-9195

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NPI Details

Kimberly M Pavan, CRNP is an acute care nurse practitioner in Philadelphia, PA. Kimberly M Pavan, CRNP NPI is 1396984340. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

51 N 39TH ST
266 WRIGHT SAUNDERS
PHILADELPHIA, PA
ZIP 19104-640
Phone: (215) 662-9195

The enumeration date for this NPI number is 2/16/2009 and was last updated on 3/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareSP010146PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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