Provider Demographics
NPI:1285444364
Name:BELARDO, KAITLYN (CRNP)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:BELARDO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 S WEST END BLVD
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1140
Mailing Address - Country:US
Mailing Address - Phone:215-538-4930
Mailing Address - Fax:215-538-4931
Practice Address - Street 1:157 S WEST END BLVD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1140
Practice Address - Country:US
Practice Address - Phone:215-538-4930
Practice Address - Fax:215-538-4931
Is Sole Proprietor?:No
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP031685363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner