MS. NELLIE RIENDEAU LAZAR CRNP NPI 1891778239

NPI Information

  • NPI: 1891778239
  • Provider Name: MS. NELLIE RIENDEAU LAZAR, CRNP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 3535 MARKET ST. STE. 1371
    CHOP ADOLESCENT INITIATIVE
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 590-3626

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NPI Details

MS. Nellie Riendeau Lazar, CRNP is a primary care nurse practitioner in Philadelphia, PA. MS. Nellie Riendeau Lazar, CRNP NPI is 1891778239. 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:

3535 MARKET ST. STE. 1371
CHOP ADOLESCENT INITIATIVE
PHILADELPHIA, PA
ZIP 19104-021
Phone: (215) 590-3626
Fax: (215) 590-0426

The enumeration date for this NPI number is 11/21/2005 and was last updated on 12/17/2014.

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
1363LP2300XNurse PractitionerPrimary CareSP008400PENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11024965980001MEDICAIDPENNSYLVANIA
21891778239OTHERNPI

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: 3/30/2025

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