Healthcare Provider Details

I. General information

NPI: 1063274587
Provider Name (Legal Business Name): KRISTEN SINGH SEHRAWAT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 E CITY AVE STE IL27
BALA CYNWYD PA
19004-1508
US

IV. Provider business mailing address

333 E CITY AVE STE IL27
BALA CYNWYD PA
19004-1508
US

V. Phone/Fax

Practice location:
  • Phone: 610-668-9999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number270651
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number37326
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: