Yenneh Kasselie

Individual provider Active NPI Registered Nurse · Folcroft, PA

NPI 1316619919 · NPPES record last updated Oct 1, 2021

Key facts

NPI
1316619919
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
626733 (PA)
Practice address
8 Christine CT
Folcroft, PA 19032-2300
Phone
(267) 815-5730
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
626733PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nyalayea LLC Current
since Oct 17, 2021
Accepting new patients
Nyalayea LLC Current
since Oct 17, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 626733 PA Yes

Addresses

Primary practice location

8 Christine CT
Folcroft, PA 19032-2300

Mailing address

8 Christine CT
Folcroft, PA 19032-2300
Phone (267) 815-5730

Other providers in Folcroft, PA

All providers in Folcroft, PA · Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.