Individual provider · Type 1 NPI

Nnedinma Ahukanna I

Nurse Practitioner · Philadelphia, PA

NPI number 1174305445 Active

Practice location

8835 Germantown Ave
Philadelphia, PA 19118-2718

Fax (215) 248-8942

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP028720 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174305445

Nnedinma Ahukanna I's National Provider Identifier is 1174305445, issued on Oct 19, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 28, 2026.