Nurse Practitioner, Pediatrics
HA LAI CRNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1578006904 · enumerated 2016-12-03 · record updated 2017-04-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 930 WASHINGTON AVE, PHILADELPHIA, PA, 19147-3840 (215) 627-8000 Fax (215) 627-9265 Google Maps Apple Maps OpenStreetMap
- Mailing address 1401 S 31ST ST, 2ND FLOOR, PHILADELPHIA, PA, 19146-3506 (215) 925-2400 Fax (215) 925-9162 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse, Neonatal Intensive Care 163WN0002X · License RN676335 PA
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License SP016940 PA
In this directory
PA Philadelphia County Philadelphia Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
PHILADELPHIA, PA, 191473840
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.