Organization · Type 2 NPI

Kola Group

Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA

NPI number 1255018909 Active

Practice location

5438 N Lawrence St
Philadelphia, PA 19120-2804

Call (610) 563-3767 Map

Mailing address

819 Selma St
Philadelphia, PA 19116-2923

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1255018909

Kola Group's National Provider Identifier is 1255018909, issued on Jul 3, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 3, 2023.