IndividualActive
Lauren Wisniowski, CRNP
NPI 1689387979 · Pediatric Rehabilitation Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1689387979
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- SP026698 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-3480
Approximate (ZIP-level) locationGet directions
Mailing address
3601 Market St Unit 2412
Philadelphia, PA 19104-5921
Registry dates
- Enumerated
- 2023-01-02
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.