Most Relevant Information
Provider Data
| NPI Number: | 1003060765 |
| Provider Name: | JODI LYNN KANZINGER NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | UP006916C |
Most Important Dates
| Enumeration Date: | 11/07/2008 |
| Last Updated: | 11/02/2015 |
Provider Practice Location
130 S BRYN MAWR AVE
SUITE H321
BRYN MAWR
PA
190103121
Practice Location Phone/Fax
| Phone: | 4843374097 |
| Fax: | 4843374086 |
Provider Mailing Location
130 S BRYN MAWR AVE
SUITE H321
BRYN MAWR
PA
190103121
Provider Mailing Phone/Fax
| Phone: | 4843374097 |
| Fax: | 4843374086 |