Nino Kavtaradze
CRNP | Nurse Practitioner
1200 Bustleton Pike Ste 16a3, Feasterville Trevose
Pennsylvania, 19053-4118
267-574-5236
Nino Kavtaradze is a Feasterville Trevose, Pennsylvania based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Nino Kavtaradze is SP015632 in Pennsylvania. Her current practice location is 1200 Bustleton Pike Ste 16a3, Feasterville Trevose. Patients can reach her at 267-574-5236. Nino Kavtaradze is CRNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1639574841.
Nino Kavtaradze has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Nino Kavtaradze speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Nino Kavtaradze |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CRNP |
| Practice Address: | 1200 Bustleton Pike Ste 16a3, Feasterville Trevose,
Pennsylvania, 19053-4118 |
| Phone: | 267-574-5236 |
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: | 1639574841 |
| NPI Enumeration Date: | 30 Oct, 2014 |
| NPI Last Update On: | 27 Nov, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nino Kavtaradze are as mentioned below.
| License Number | Specialization | State | Status | |
| SP015632 | | Pennsylvania | Primary | |
| RN632493 | Registered Nurse | Pennsylvania | Secondary | |
| SP015632 | Family | Pennsylvania | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Nino Kavtaradze such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1032670520017 | Medicaid | Pennsylvania | |
| SP015632 | Other | Pennsylvania | PENNSYLVANIA DEPARTMENT OF STATE |
| RN632493 | Other | Pennsylvania | PENNSYLVANIA DEPARTMENT OF STATE |
| 33402683 | Other | | AMERICAN NURSES CREDENTIALING CENTER (ANCC) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nino Kavtaradze
1200 Bustleton Pike Ste 16a3,
Feasterville Trevose, Pennsylvania |
| Zip: | 19053-4118 |
| Phone Number: | 267-223-7738 |
| Fax Number: | 267-223-7738 |
Patients can reach Nino Kavtaradze at
1200 Bustleton Pike Ste 16a3, Feasterville Trevose, Pennsylvania or can
call to book an appointment on 267-574-5236.
Comments/ Reviews:
Patients can read all the reviews posted for Nino Kavtaradze below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Nino Kavtaradze. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.