Provider Demographics
NPI:1861225906
Name:KOBYLYNETS, KHRYSTYNA (NP)
Entity type:Individual
Prefix:
First Name:KHRYSTYNA
Middle Name:
Last Name:KOBYLYNETS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1541 TARLETON PL
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3811
Mailing Address - Country:US
Mailing Address - Phone:267-902-0272
Mailing Address - Fax:
Practice Address - Street 1:1055 WESTLAKES DR STE 3152
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:PA
Practice Address - Zip Code:19312-2410
Practice Address - Country:US
Practice Address - Phone:215-346-6050
Practice Address - Fax:215-220-3562
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029641363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner