Healthcare Provider Details

I. General information

NPI: 1407806037
Provider Name (Legal Business Name): KRISTEN CURTIS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 07/01/2021
Certification Date: 06/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 2ND STREET PIKE
RICHBORO PA
18954-1527
US

IV. Provider business mailing address

1648 HUNTINGDON PIKE MEDICAL STAFF OFFICE 1ST FLR
MEADOWBROOK PA
19046-8001
US

V. Phone/Fax

Practice location:
  • Phone: 215-364-0777
  • Fax: 267-579-0720
Mailing address:
  • Phone: 215-938-3450
  • Fax: 215-938-3829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NN08284700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: