Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Practitioner LLC

Organization Primary Care Nurse Practitioner · NPI 1497316996

Practitioner LLC is a Primary Care Nurse Practitioner in Feasterville Trevose, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 Bustleton Pike Ste 16A3
Feasterville Trevose, PA 19053-4118
Phone: (267) 223-7738
Fax: (877) 416-0367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1497316996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nino Kavtaradze — Primary Care Provider, Shareholder · (267) 223-7738
Other names Np Medicine; Np Medicine
NPI enumeratedJune 25, 2019
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020
Mailing address1200 Bustleton Pike Ste 16a3, Feasterville Trevose, PA 19053-4118

Other providers in Feasterville Trevose