Kelly Darragh Lattanzi in Philadelphia - Adult Health

Kelly Darragh Lattanzi - NPI 1477749828

Kelly Darragh Lattanzi is a Adult Health in Philadelphia, Pennsylvania. Kelly Darragh Lattanzi practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Kelly Darragh Lattanzi is 1477749828. The last update date is 2018-03-28.

Kelly Darragh Lattanzi's current location address is 2450 W Hunting Park Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157071800 and fax number 2157073644. The mailing address for Kelly Darragh Lattanzi is 2450 W Hunting Park Ave, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Darragh Lattanzi
Address 2450 W Hunting Park Ave, Philadelphia, Pennsylvania
Phone Number 2157071800
Fax Number 2157073644
Sole Proprietor N
Credentials CRNP

NPI Number Detail

NPI Number 1477749828
Provider Enumeration Date 2007-09-19
Last Updated Date 2018-03-28

Provider Mailing Address Detail

Address 2450 W Hunting Park Ave
City Philadelphia
State Pennsylvania (PA)
Post Code 191291302
Phone Number 2157071800
Fax Number 2157073644

Provider's Primary Taxonomy Detail

Speciality Adult Health
Taxonomy 363La2200X
Licence No SP009526
Definition:
An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1022508560001 PA --

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FAQs about Kelly Darragh Lattanzi

What is the Kelly Darragh Lattanzi's unique identification number?

The Kelly Darragh Lattanzi has been assigned the NPI (National Provider Identifier) Number 1477749828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Kelly Darragh Lattanzi is geographically located?

The Kelly Darragh Lattanzi is physically situated at the following location: 2450 W Hunting Park Ave, Philadelphia, PA, 191291302.

What is Kelly Darragh Lattanzi's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kelly Darragh Lattanzi is Adult Health, and the taxonomy classification code that categorizes this area of expertise is 363La2200X.

On what date did the Kelly Darragh Lattanzi receive the assignment of its 1477749828 from the Centers for Medicare & Medicaid Services?

The Kelly Darragh Lattanzi was issued its 1477749828 by the Centers for Medicare & Medicaid Services on 2007-09-19.

When was the information regarding Kelly Darragh Lattanzi, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kelly Darragh Lattanzi, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-03-28.

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