MEDICARE: MRS. KRISTIN NICOLE FONTANA-MAGOWAN CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	SP028433	PA
2	363LW0102X	Women's Health Nurse Practitioner	SP028433	PA

General Provider Information

NPI Number	:	1144814500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTIN NICOLE FONTANA-MAGOWAN CRNP

Provider Business Mailing Address
First Line	:	8 S WAYNE ST STE O
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-2817
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 S WAYNE ST STE O
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-2817
Country	:	US
Telephone Number	:	610-279-6095
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2021
Last Update Date	:	01/21/2026

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