Nicole Destefano
CRNP | Nurse Practitioner - Gerontology
3400 Spruce Street, Philadelphia
Pennsylvania, 19104-3309
484-653-8742
Nicole Destefano is a Philadelphia, Pennsylvania based nurse practitioner who is specialized as Gerontology nurse. Active license number of Nicole Destefano is SP030151 for Acute Care in Pennsylvania. Her current practice location is 3400 Spruce Street, Philadelphia. Patients can reach her at 484-653-8742. Nicole Destefano is CRNP with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1982434908.
Nicole Destefano is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Nicole Destefano speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Nicole Destefano |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Female |
| Credentials: | CRNP |
| Practice Address: | 3400 Spruce Street, Philadelphia,
Pennsylvania, 19104-3309 |
| Phone: | 484-653-8742 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1982434908 |
| NPI Enumeration Date: | 05 Aug, 2024 |
| NPI Last Update On: | 19 Sep, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Destefano are as mentioned below.
| License Number | Specialization | State | Status | |
| SP030151 | Acute Care | Pennsylvania | Primary | |
| SP030151 | Gerontology | Pennsylvania | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nicole Destefano
3400 Spruce Street,
Philadelphia, Pennsylvania |
| Zip: | 19104-4311 |
| Phone Number: | 484-653-8742 |
Patients can reach Nicole Destefano at
3400 Spruce Street, Philadelphia, Pennsylvania or can
call to book an appointment on 484-653-8742.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.