HEATHER ELIZABETH BONG CRNP
NPI 1720638794
Nurse Practitioner - Pediatrics in Philadelphia, PA
About Heather Elizabeth Bong Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER ELIZABETH BONG CRNP (NPI 1720638794) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP020607) and active in the NPI registry since September 2019. She maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heather Bong's NPI number?
The NPI number for Heather Bong is 1720638794. It was assigned to this individual provider in the NPPES registry on September 12, 2019.
Where is Heather Bong located?
Heather Bong practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.
What is Heather Bong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
When was this NPI record last updated?
The NPPES record for Heather Bong was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Heather Elizabeth Bong, CRNP · NPI 1720638794
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 12, 2019.
## Identity
- **NPI:** 1720638794 (Entity type: Individual)
- **Enumerated:** September 12, 2019
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP020607 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-1000
## Record status
- **NPPES last updated:** September 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1720638794) · Data from the CMS NPPES public registry.