MRS. CHRISTINE NIERODA CLANCY


Address: 211 S. 9th Street, Suite 600, Philadelphia, PA 19107
Phone: 2159551925

MRS. CHRISTINE NIERODA CLANCY (NPI# 1487677084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487677084
Entity Type Individual
Full Name MRS. CHRISTINE NIERODA CLANCY
Credential CRNP
Practice Address 211 S. 9th Street
Suite 600
Philadelphia
PA 19107
Mailing Address 211 S. 9th Street
Suite 600
Philadelphia
PA 19107-6810
Practice Telephone 2159551925
Practice Fax Number 2159283160
Mailing Telephone 2159551925
Mailing Fax Number 2159283160
Enumeration Date 2006-07-25
Last Update Date 2018-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
VP004645C PA Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
VP004645C PA Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
VP004645C PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 103075213 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
225 E City Ave, Suite 109, Bala Cynwyd, PA 190041704 2155033838 6106642945

Other Providers CHRISTINE CLANCY

NPI Name Taxonomy Address Enumeration
1730324559 Christine Clancy Specialist/Technologist 150 W University Blvd, Melbourne, FL 32901-6982 2008-12-08
1184813776 Christine Anne Clancy Clinical Neuropsychologist 4800 Sand Point Way Ne, M/s W-6839, Seattle, WA 98105-3901 2007-10-18

Office Location

Street Address 211 S. 9TH STREET
SUITE 600
City PHILADELPHIA
State PA
Zip Code 19107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134542558 Beth Sylvester Nurse Practitioner 211 S. 9th Street, Suite 210, Philadelphia, PA 19107 2014-01-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1821636317 Mary Mumbi Njogu Nurse Practitioner 907 Woodbrook Ln, Philadelphia, PA 19150-3217 2019-12-15
1235696741 Divya Rebecca Roberts Nurse Practitioner 3400 Civic St, 4th Fl, Philadelphia, PA 19104-5127 2019-02-21
1770073090 Eboni Simmons Nurse Practitioner 5501 Old York Rd # 4320, Philadelphia, PA 19141-3018 2018-05-11
1780180620 Natalie Clarke Nurse Practitioner 7727 Overbrook Ave, Philadelphia, PA 19151-2016 2018-03-31
1396240792 Barbara Ann Young Nurse Practitioner 15054 Carter Rd, Philadelphia, PA 19116-1503 2018-03-27
1780182451 Kelly Ann Joyce Nurse Practitioner 5225 Arendell Ave, Philadelphia, PA 19114-4229 2018-01-29
1699273615 Dana Patricia Ridley Nurse Practitioner 2024 Emily St, Philadelphia, PA 19145-2823 2018-01-24
1497205157 Sinu Satheeshbabu Nair Nurse Practitioner 9285 Darlington Rd, Philadelphia, PA 19115-2734 2016-10-06
1760856538 Liji Vipin Nurse Practitioner 1615 Oregon Ave, Philadelphia, PA 19145 2015-11-17
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Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19107

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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