KATHY L WIELICZKO MSN CPNP NPI 1689665952

NPI Information

  • NPI: 1689665952
  • Provider Name: KATHY L WIELICZKO, MSN, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1ST FLOOR WOOD CENTER
    34TH & CIVIC CENTER BLVD
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 590-3440

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NPI Details

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
1363LP0200XNurse PractitionerPediatrics26NR09657400NEW JERSEYNo
2363LP0200XNurse PractitionerPediatricsSP059690PENNSYLVANIAYes

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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