Individual provider · Type 1 NPI

Linda Ath, CRNP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1194093120 Active

Practice location

34th St. And Civic Center Blvd.
Philadelphia, PA 19104

Fax (215) 590-3053

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP011799 (PA)
Pediatric Nurse Practitioner 363LP0200X26NJ00355900 (NJ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1194093120

Linda Ath, CRNP's National Provider Identifier is 1194093120, issued on Dec 5, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 7, 2015.