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NPI Code Detail

MEDICARE: DR. KRISTEN L TALVACCHIA APN

MEDICARE: DR. KRISTEN L TALVACCHIA APN
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
1363L00000XNurse PractitionerSP016662PA

General Provider Information

NPI Number : 1952542748
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTEN L TALVACCHIA APN
Provider Business Mailing Address
First Line : 3900 WOODLAND AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4551
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3900 WOODLAND AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4551
Country : US
Telephone Number : 215-853-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2009
Last Update Date : 02/04/2026

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