Healthcare Provider Details

I. General information

NPI: 1861413288
Provider Name (Legal Business Name): KRISTIE M ADAMO RN, CRNA, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTIE M PIOTROWICZ

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 10/24/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W LANCASTER AVE
PAOLI PA
19301-1763
US

IV. Provider business mailing address

610 W. GERMANTOWN PIKE, SUITE 150
PLYMOUTH MEETING PA
19462
US

V. Phone/Fax

Practice location:
  • Phone: 610-648-1000
  • Fax:
Mailing address:
  • Phone: 610-525-4966
  • Fax: 517-787-4146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN517581L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: