MEDICARE: PATRYCJA KOLCZYNSKA NP

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	363L00000X	Nurse Practitioner	SP034102	PA

General Provider Information

NPI Number	:	1538003983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRYCJA KOLCZYNSKA NP

Provider Business Mailing Address
First Line	:	436 GROVE ST
Second Line	:
City	:	BRIDGEPORT
State	:	PA
Zip	:	19405-1424
Country	:	US
Telephone Number	:	267-997-4096
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 E WILLOW GROVE AVE
Second Line	:
City	:	WYNDMOOR
State	:	PA
Zip	:	19038-7910
Country	:	US
Telephone Number	:	215-836-7212
Fax Number	:

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

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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