Healthcare Provider Details

I. General information

NPI: 1427653922
Provider Name (Legal Business Name): MEGAN BETH PINTO CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2020
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 SPRUCE ST 3 SILVERSTEIN BLDG
PHILADELPHIA PA
19104-4206
US

IV. Provider business mailing address

3400 CIVIC CENTER BLVD 15TH FLOOR SOUTH PAVILION
PHILADELPHIA PA
19104-2651
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-3487
  • Fax: 215-349-5534
Mailing address:
  • Phone: 215-662-3487
  • Fax: 215-349-5534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ01343000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP023020
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: