Individual provider · Type 1 NPI
Hamidah McCorkle, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1194230177
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
5027 Catharine St
Philadelphia, PA 19143-1627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP018299 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1194230177
Hamidah McCorkle, CRNP's National Provider Identifier is 1194230177, issued on Dec 12, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 12, 2017.