Provider Demographics
NPI:1952036402
Name:KUENTZLER, MONICA POESKE (CRNP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:POESKE
Last Name:KUENTZLER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:JANE
Other - Last Name:POESKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:1741 FRANKFORD AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125
Mailing Address - Country:US
Mailing Address - Phone:215-425-2424
Mailing Address - Fax:
Practice Address - Street 1:1741 FRANKFORD AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125
Practice Address - Country:US
Practice Address - Phone:215-425-2424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025410363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
15661808OtherCAQH