MEDICARE: VERONICA A QUATTRINI 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	R084503	MD
2	363LF0000X	Family Nurse Practitioner	SP009940	PA
3	363L00000X	Nurse Practitioner	R084503	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710976121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA A QUATTRINI CRNP

Provider Business Mailing Address
First Line	:	1020 SANSOM ST
Second Line	:	STE 239
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5002
Country	:	US
Telephone Number	:	215-955-6844
Fax Number	:	215-955-2526

Provider Business Practice Location Address
First Line	:	1020 SANSOM ST
Second Line	:	STE 239
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5002
Country	:	US
Telephone Number	:	215-955-6844
Fax Number	:	215-955-2526

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	11/12/2015

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