Krysha Patriz Mallari, CRNP is a
Nurse Practitioner based in St Davids, Pennsylvania. Krysha Patriz Mallari is licensed to practice in Pennsylvania (license number SP018407) and her current practice location is
595 E Lancaster Ave, St Davids, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 645-5664.
NPI number for Krysha Patriz Mallari is 1508368994 and her current mailing address is 834 Chestnut St, Ste 104, Philadelphia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508368994.
Provider's Profile
| Full Name | Krysha Patriz Mallari |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 595 E Lancaster Ave, St Davids, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508368994
- Provider Enumeration Date: 03/01/2018
- Last Update Date: 03/17/2025
Medical Identifiers
Medical identifiers for Krysha Patriz Mallari such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508368994 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | SP018407 (Pennsylvania) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | SP018407 (Pennsylvania) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | SP018407 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP018407 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krysha Patriz Mallari is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Krysha Patriz Mallari, CRNP
834 Chestnut St, Ste 104,
Philadelphia, PA 19107
Ph: (215) 258-8301 | Krysha Patriz Mallari, CRNP
595 E Lancaster Ave,
St Davids, PA 19087-5111
Ph: (215) 645-5664 |
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