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

Vladimir Vetkin, CRNP

Individual provider Registered Nurse · NPI 1629547039

Vladimir Vetkin, CRNP is a Nurse Practitioner in Bryn Mawr, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Phoenixville Clinic Company LLC, a 137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2018
Specialties on file
3
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

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone: (484) 337-4097
Fax: (484) 337-4082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 Reeceville Rd, Coatesville, PA 19320-1542 — (610) 383-8000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP019596 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN622044 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP019596 (PA)

Record details

NPI number1629547039
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 14, 2018
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Phoenixville Clinic Company Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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