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

Individual provider Adult Health Nurse Practitioner · NPI 1215023114

Patricia M Bomalaski, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Trustees of the University of Pennsylvania, a 148-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2006
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

51 N 39th St Mab Ste 102
Philadelphia, PA 19104-2640
Phone: (215) 662-9990
Fax: (215) 243-3297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP005247C (PA)

Record details

NPI number1215023114
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESJanuary 27, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Trustees Of The University Of Pennsylvania — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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