Individual provider · Type 1 NPI

Henrietta D. Mtshali, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1043493901 Active

Practice location

2100 W Girard Ave
Philadelphia, PA 19130-1400

Call (215) 685-0800 Map

Fax (215) 865-0846

Mailing address

2301 S Broad St
Philadelphia, PA 19148-3542

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA003230L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1043493901

Henrietta D. Mtshali, PA-C's National Provider Identifier is 1043493901, issued on Dec 13, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 18, 2016.