Marie Catherine Iannelli
Nurse Practitioner, Family in Philadelphia, PA. Individual provider (NPI-1).
NPI number1235669367
StatusActive
Last updated in NPPESJun 12, 2017
Details
- NPI
- 1235669367
- Entity type
- Individual (NPI-1)
- Name
- Marie Catherine Iannelli
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2017
- Last updated
- Jun 12, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP017492 | PA | Yes |
Practice location
3400 Civic Center Blvd Fl 3Philadelphia, PA 19104-5127
Phone 215-615-5858
Mailing address
3400 Civic Center Blvd Fl 3Philadelphia, PA 19104-5127
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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