KATHY L WIELICZKO MSN CPNP NPI 1689665952

NPI Information

NPI: 1689665952
Provider Name: KATHY L WIELICZKO, MSN, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1ST FLOOR WOOD CENTER
34TH & CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-3440
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Kathy L Wieliczko, MSN, CPNP is a pediatrics nurse practitioner in Philadelphia, PA. Kathy L Wieliczko, MSN, CPNP NPI is 1689665952. 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:

1ST FLOOR WOOD CENTER
34TH & CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-3440

The enumeration date for this NPI number is 11/4/2005 and was last updated on 8/14/2007.

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	363LP0200X	Nurse Practitioner	Pediatrics	26NR09657400	NEW JERSEY	No
2	363LP0200X	Nurse Practitioner	Pediatrics	SP059690	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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