Individual provider · Type 1 NPI
Ivan Denker
Family Nurse Practitioner · Philadelphia, PA
NPI number
1104284835
Active
Practice location
4510 Frankford Ave
Philadelphia, PA 19124-3602
Fax (215) 744-2544
Mailing address
432 N 6th St
Philadelphia, PA 19123-4004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN663483 (PA) |
| Registered Nurse | 163W00000X | 26NR17659800 (NJ) |
| Registered Nurse | 163W00000X | 22 710754 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | SP015880 (PA) |
| Family Nurse Practitioner | 363LF0000X | 33 340355 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104284835
Ivan Denker's National Provider Identifier is 1104284835, issued on Feb 9, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 9, 2016.