Healthcare Provider Details

I. General information

NPI: 1336064773
Provider Name (Legal Business Name): DZVINKA KSHIK FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 FLORAL VALE BLVD STE 125
YARDLEY PA
19067-5583
US

IV. Provider business mailing address

1152 HARPER DR
WARMINSTER PA
18974-2708
US

V. Phone/Fax

Practice location:
  • Phone: 267-759-6300
  • Fax:
Mailing address:
  • Phone: 267-670-6276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP036735
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: