Organization · Type 2 NPI

Deep Roots Charter School

School Nurse Practitioner · Philadelphia, PA

NPI number 1245020254 Active

Practice location

900 Lindley Ave
Philadelphia, PA 19141-3920

Mailing address

100 W Oxford St
Philadelphia, PA 19122-3927

Other practice locations

  • 3556 Frankford Ave, Philadelphia, PA 19134-2118 · (267) 324-5707
  • 5070 Parkside Ave Ste 6200, Philadelphia, PA 19131-4750 · (267) 939-5876

Specialties and licenses

TaxonomyCodeLicense
School Nurse Practitioner Primary 363LS0200XNone listed

School Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1245020254

Deep Roots Charter School's National Provider Identifier is 1245020254, issued on May 12, 2025. The primary taxonomy on file is School Nurse Practitioner (363LS0200X), and the practice location is in Philadelphia, PA. The record was last updated on May 12, 2025.