Active NPIIndividual provider

Courtney L Sgrillo, CRNP

Nurse Practitioner, Family in Philadelphia, Pennsylvania

NPI Number1417622770
Practice location
925 Chestnut St Fl 3, Philadelphia, PA 19107-4216
Fax
—
Last updated
August 18, 2024

Courtney Lee Sgrillo is a Nurse Practitioner, Family based in Philadelphia, PA. Courtney Lee Sgrillo practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Courtney Lee Sgrillo is 1417622770 and holds a License No. SP023381 (PA). The current practice location address for Courtney Lee Sgrillo is 925 Chestnut St Fl 3, Philadelphia, PA 19107-4216 and can be reached out via phone at 215-503-6654.

Provider Profile Details

NPI Number
1417622770
Provider Name
Courtney Lee Sgrillo
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
925 Chestnut St Fl 3, Philadelphia, PA 19107-4216
Phone Number
215-503-6654
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Courtney Lee Wingate, CRNP (Former Name)
Provider Enumeration Date
August 10, 2021
Last Update Date
August 18, 2024
Certification Date
August 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
925 Chestnut St Fl 3
Philadelphia, PA 19107-4216
Zip
19107-4216
Phone Number
215-503-6654
Philadelphia, PA 19107Get directions →

Provider Business Mailing Address Details

Address
925 Chestnut St Fl 3
Philadelphia, PA 19107-4216
City
Philadelphia
State
PA
Zip
19107-4216

License Information

License Number (1)
SP023381
License State (1)
PA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
26NJ15112100
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Courtney L Sgrillo, CRNP?

The NPI number of Courtney L Sgrillo, CRNP is 1417622770. It was assigned on August 10, 2021 and is currently active in the NPPES registry.

What is the specialty of Courtney L Sgrillo, CRNP?

Courtney L Sgrillo, CRNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in PA under license number SP023381.

Where does Courtney L Sgrillo, CRNP practice?

The practice location is 925 Chestnut St Fl 3, Philadelphia, PA 19107-4216. The office can be reached at 215-503-6654 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417622770 directly on the NPPES registry website.

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