ALICIA ANNE MAMIENSKI CRNP
NPI 1962810069
Nurse Practitioner - Pediatrics in Philadelphia, PA

Active since August 01, 2014
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(267) 425-4650 Get Directions Write a Review

NPPES record last updated: August 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alicia Anne Mamienski Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA ANNE MAMIENSKI CRNP (NPI 1962810069) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP013806) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1962810069
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameALICIA ANNE MAMIENSKICredential: CRNP
Location Address3400 CIVIC CENTER BLVDPhiladelphia, PA 19104-5127
Mailing Address233 Golf Hills RdHavertown, PA 19083-1034 · (347) 804-4424
Sole ProprietorNo
Enumeration DateAugust 1, 2014
NPI 1962810069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in PA · SP013806
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

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.

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
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 Alicia Mamienski's NPI number?

The NPI number for Alicia Mamienski is 1962810069. It was assigned to this individual provider in the NPPES registry on August 1, 2014.

Where is Alicia Mamienski located?

Alicia Mamienski practices at 3400 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (267) 425-4650.

What is Alicia Mamienski'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 Alicia Mamienski was last updated on August 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.