KURNIAWAN TEJA MSN CRNP FNP-BC NPI 1427759273

NPI Information

NPI: 1427759273
Provider Name: KURNIAWAN TEJA, MSN, CRNP, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
7118 MATTHIAS ST
PHILADELPHIA, PA
ZIP 19128
Phone: (267) 984-3743
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Kurniawan Teja, MSN, CRNP, FNP-BC is a family nurse practitioner in Philadelphia, PA. Kurniawan Teja, MSN, CRNP, FNP-BC NPI is 1427759273. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7118 MATTHIAS ST
PHILADELPHIA, PA
ZIP 19128-230
Phone: (267) 984-3743

The NPI 1427759273 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/16/2023 and was last updated on 3/16/2023.

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
1	363LF0000X	Nurse Practitioner	Family	SP027170	PENNSYLVANIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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