Doctor Name: | KELLY PEARSON-CARAVETTA |
NPI Number: | 1043520018 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 26NJ00138200 |
Business Practice Address: | 20 Quaker Hill Rd Levittown, PA - 190571902 |
Business Phone Number: | 2679806779 |
Business Fax Number: | |
Mailing Address: | 20 Quaker Hill Rd, LEVITTOWN |
State: | PA |
Postal Code: | 190571902 |
Phone Number: | 2679806779 |
Fax Number: | |
NPI Enumeration Date: | 10/08/2010 |
NPI Last Update Date: | 10/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00138200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |