Doctor profile · Federal record
Dr. Nino Kavtaradze, CRNP
Nurse Practitioner · Registered Nurse · Family Nurse Practitioner · Feasterville Trevose, PA
- NPI 1639574841
- 12 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1200 Bustleton Pike Ste 16A3
Feasterville Trevose, PA 190534118
(267) 574-5236 - Additional location
-
11043 Greiner RD
Philadelphia, PA 191162611
Credentials & registration
- NPI registered
- October 2014 — 12 yrs on file
- Profile last updated
- November 27, 2023
- Specialty taxonomy
- 363L00000X — NUCC code
- State licenses (2)
- Pennsylvania #SP015632 · Pennsylvania #RN632493
- Medicaid
- PA #1032670520017
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639574841. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$13
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Exeltis, USA Inc. | 1 | $13.13 |
By nature of payment
Frequently asked questions
What is Dr. Nino Kavtaradze's medical specialty?
Dr. Nino Kavtaradze practices Nurse Practitioner in Feasterville Trevose, PA.
Where does Dr. Nino Kavtaradze practice?
Dr. Nino Kavtaradze practices at 1200 Bustleton Pike Ste 16A3, Feasterville Trevose, PA 190534118. Office phone: 2675745236.
What is Dr. Nino Kavtaradze's NPI?
Dr. Nino Kavtaradze's National Provider Identifier (NPI) is 1639574841, issued by NPPES.