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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NINO KAVTARADZE, CRNP

Active

NINO KAVTARADZE, CRNP is a Nurse Practitioner healthcare provider located in FEASTERVILLE TREVOSE, Pennsylvania. NPI 1639574841 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · FEASTERVILLE TREVOSE, PA

Registration Details

NPI Number
1639574841
Provider Type
Individual
Gender
Female
NPI Issued
Oct 30, 2014 (11.747960231175 yrs)
Last Updated
Nov 27, 2023
Licenses
RN632493 (PA)
SP015632 (PA)
SP015632 (PA)

Practice Information

Address
1200 BUSTLETON PIKE STE 16A3
FEASTERVILLE TREVOSE, PA, 190534118
Browse PA providers · Browse ZIP 19053
Phone
2675745236
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in FEASTERVILLE TREVOSE, PA

Name Credential NPI
ALICE EIDENZON CRNP 1588170146
BRIANA RENOIS ANTWI NP 1376182725
DR. JINCY JOHN DNP 1477202026
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.