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

Angelo Joseph Defeo, CRNP

Individual provider Nurse Practitioner · NPI 1659175818

Angelo Joseph Defeo, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2010, 16 years ago. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2025
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-3133
Fax: (215) 707-2915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP031951 (PA)

Record details

NPI number1659175818
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedApril 4, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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