Individual provider · Type 1 NPI
Susan M. Wightman-Hentz, APN
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1194885293
Active
Practice location
34th Street And Civic Center Boulevard
Philadelphia, PA 19104
Fax (215) 590-1771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN280126L (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1194885293
Susan M. Wightman-Hentz, APN's National Provider Identifier is 1194885293, issued on Dec 11, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 10, 2012.