Active NPIIndividual provider

Brianna R Hafetz

Nurse Practitioner, Pediatrics in Philadelphia, Pennsylvania

NPI Number1982373445
Practice location
3401 Civic Center Blvd, Philadelphia, PA 19104-4319
Fax
—
Last updated
September 8, 2021

Brianna Rose Hafetz is a Nurse Practitioner, Pediatrics based in Philadelphia, PA. Brianna Rose Hafetz practices in Philadelphia, PA. The NPI Number for Brianna Rose Hafetz is 1982373445 and holds a License No. SP023909 (PA). The current practice location address for Brianna Rose Hafetz is 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 and can be reached out via phone at 609-513-5288.

Provider Profile Details

NPI Number
1982373445
Provider Name
Brianna Rose Hafetz
Provider Entity Type
Individual
Gender
Female
Address
3401 Civic Center Blvd, Philadelphia, PA 19104-4319
Phone Number
609-513-5288
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
September 8, 2021
Last Update Date
September 8, 2021
Certification Date
September 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Zip
19104-4319
Phone Number
609-513-5288
Philadelphia, PA 19104Get directions →

Provider Business Mailing Address Details

Address
1420 Franklin Blvd
Linwood, NJ 08221-2329
City
Linwood
State
NJ
Zip
08221-2329

License Information

License Number
SP023909
License State
PA
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · 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 Brianna R Hafetz?

The NPI number of Brianna R Hafetz is 1982373445. It was assigned on September 8, 2021 and is currently active in the NPPES registry.

What is the specialty of Brianna R Hafetz?

Brianna R Hafetz is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in PA under license number SP023909.

Where does Brianna R Hafetz practice?

The practice location is 3401 Civic Center Blvd, Philadelphia, PA 19104-4319. The office can be reached at 609-513-5288 (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 1982373445 directly on the NPPES registry website.

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