MEDICARE: KRISTA MICHELE VERDI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA9102906	FL
2	363AM0700X	Medical Physician Assistant	MA055207	PA
3	363A00000X	Physician Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477534600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTA MICHELE VERDI PA-C

Provider Business Mailing Address
First Line	:	5445 LANARK RD STE 202
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8694
Country	:	US
Telephone Number	:	484-526-5210
Fax Number	:	866-568-6561

Provider Business Practice Location Address
First Line	:	5445 LANARK RD STE 202
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8694
Country	:	US
Telephone Number	:	484-526-5210
Fax Number	:	866-568-6561

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2005
Last Update Date	:	09/02/2025

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Directions to “ KRISTA MICHELE VERDI PA-C” Practice Location

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