MEDICARE: KRISTIAN ALLEN INGEBRETSEN RN, SRNA

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1891402814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIAN ALLEN INGEBRETSEN RN, SRNA

Provider Business Mailing Address
First Line	:	1136 N AMERICAN ST UNIT 404
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19123-1680
Country	:	US
Telephone Number	:	206-794-5902
Fax Number	:

Provider Business Practice Location Address
First Line	:	1136 N AMERICAN ST UNIT 404
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19123-1680
Country	:	US
Telephone Number	:	206-794-5902
Fax Number	:

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

Provider Enumeration Date	:	10/31/2022
Last Update Date	:	11/04/2022

Similar Medicare Providers

1750174793 — SAMANTHA ANN HERSHEY LMFT
Practice Location Address:

500 N 13TH ST FL 1
PHILADELPHIA, PA
19123-3955

Practice Phone: 267-225-4176
Practice Fax:

1073135000 — JUSTIN TALBOT LCSW
Practice Location Address:

500 N 13TH ST
PHILADELPHIA, PA
19123-3955

Practice Phone: 267-636-6008
Practice Fax: 267-805-8505

1972818896 — DR. ANDREW MILLER DPT
Practice Location Address:

511 N BROAD ST
PHILADELPHIA, PA
19123-3230

Practice Phone: 215-923-6031
Practice Fax:

1689419566 — JENNY LINH CRNP
Practice Location Address:

1001 WALLACE ST
PHILADELPHIA, PA
19123-2502

Practice Phone: 215-235-1600
Practice Fax: 844-465-2384

1295663623 — DR. SHANE HOGARTH DPT
Practice Location Address:

511 N BROAD ST
PHILADELPHIA, PA
19123-3230

Practice Phone: 215-923-6031
Practice Fax:

1043213671 — DEBRA MCGRATH C.R.N.P.
Practice Location Address:

850 N 11TH ST
PHILADELPHIA, PA
19123-1957

Practice Phone: 215-769-1100
Practice Fax: 215-769-1117

Directions to “ KRISTIAN ALLEN INGEBRETSEN RN, SRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.