MEDICARE: MRS. CAITLIN PILEGGI 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	363L00000X	Nurse Practitioner	SP014647	PA

General Provider Information

NPI Number	:	1235517921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAITLIN PILEGGI CRNP

Provider Business Mailing Address
First Line	:	3400 SPRUCE STREET
Second Line	:	2 RAVDIN
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4206
Country	:	US
Telephone Number	:	215-662-3606
Fax Number	:	215-349-5579

Provider Business Practice Location Address
First Line	:	3400 SPRUCE STREET
Second Line	:	2 RAVDIN
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4206
Country	:	US
Telephone Number	:	215-662-3606
Fax Number	:	215-349-5579

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

Provider Enumeration Date	:	05/13/2015
Last Update Date	:	03/17/2026

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