OTHELLO SAYE KWAIDAH CRNP NPI 1477051514

NPI Information

NPI: 1477051514
Provider Name: OTHELLO SAYE KWAIDAH, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-4600
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Othello Saye Kwaidah, CRNP is a family nurse practitioner in Philadelphia, PA. Othello Saye Kwaidah, CRNP NPI is 1477051514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-4600
Fax: (215) 707-9697

The NPI 1477051514 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 1/23/2018 and was last updated on 6/22/2018.

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	SP018472	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: 11/14/2023

NPI Synchronization or Removal

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