MEDICARE: MRS. KAVITHA RANI TIRUNAGARI NP

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	363LA2200X	Adult Health Nurse Practitioner	SP015086	PA

General Provider Information

NPI Number	:	1407230261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAVITHA RANI TIRUNAGARI NP

Provider Business Mailing Address
First Line	:	312 WAYNEBROOK DR
Second Line	:
City	:	CHESTER SPRINGS
State	:	PA
Zip	:	19425-3840
Country	:	US
Telephone Number	:	484-302-1141
Fax Number	:

Provider Business Practice Location Address
First Line	:	312 WAYNEBROOK DR
Second Line	:
City	:	CHESTER SPRINGS
State	:	PA
Zip	:	19425-3840
Country	:	US
Telephone Number	:	484-302-1141
Fax Number	:

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

Provider Enumeration Date	:	07/11/2015
Last Update Date	:	07/11/2015

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