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NPI Code Detail

MEDICARE: NICOLE KNESTRICK CRNP

MEDICARE:   NICOLE  KNESTRICK  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
1363LP0200XPediatric Nurse PractitionerSP030136PA

General Provider Information

NPI Number : 1477381952
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE KNESTRICK CRNP
Provider Business Mailing Address
First Line : 603 WASHINGTON RD STE 300
Second Line :
City : MT LEBANON
State : PA
Zip : 15228-1928
Country : US
Telephone Number : 412-563-6151
Fax Number :
Provider Business Practice Location Address
First Line : 603 WASHINGTON RD STE 300
Second Line :
City : MT LEBANON
State : PA
Zip : 15228-1928
Country : US
Telephone Number : 412-563-6151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2024
Last Update Date : 09/25/2024

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Directions to “ NICOLE KNESTRICK CRNP” Practice Location

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