MEDICARE: MS. IVETTE NACPA 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	363LF0000X	Family Nurse Practitioner	SP026853	PA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP034006	PA

General Provider Information

NPI Number	:	1255047676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. IVETTE NACPA CRNP

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5250
Country	:	US
Telephone Number	:	888-987-1151
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 ARAMINGO AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19137-1003
Country	:	US
Telephone Number	:	215-608-4548
Fax Number	:	888-355-7036

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

Provider Enumeration Date	:	01/30/2023
Last Update Date	:	02/10/2026

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