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KIRSTIN MARIA PATRAGNONI-SAUTER NURSE PRACTITIONER NPI 1699989004


NPI Information

NPI: 1699989004
Provider Name: KIRSTIN MARIA PATRAGNONI-SAUTER, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
120 MADISON AVENUE
VIRTUA PHOENIX OB/GYN- MOUNT HOLLY- SUITE #B
PHILADELPHIA, PA
ZIP 19144
Phone: (609) 444-5500
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Kirstin Maria Patragnoni-sauter, NURSE PRACTITIONER is a family nurse practitioner in Philadelphia, PA. Kirstin Maria Patragnoni-sauter, NURSE PRACTITIONER NPI is 1699989004. 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:

120 MADISON AVENUE
VIRTUA PHOENIX OB/GYN- MOUNT HOLLY- SUITE #B
PHILADELPHIA, PA
ZIP 19144-497
Phone: (609) 444-5500
Fax: (609) 444-5506

The NPI 1699989004 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 9/29/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WC1400XRegistered NurseCollege HealthSP007724PENNSYLVANIANo
2363LF0000XNurse PractitionerFamily26NJ00032500NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1345402YBAWMEDICARE UPINNEW JERSEY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.