Individual provider · Type 1 NPI

Roxan Bardall, CRNP

Critical Care Medicine Nurse Practitioner · Philadelphia, PA

NPI number 1376146183 Active

Practice location

2301 S Broad St
Philadelphia, PA 19148-3542

Call (215) 955-6000 Map

Mailing address

1201 Jackson St Unit 144
Philadelphia, PA 19148-2943

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner Primary 363LC0200XSP022642 (PA)

Critical Care Medicine Nurse Practitioner: Definition to come...

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About NPI 1376146183

Roxan Bardall, CRNP's National Provider Identifier is 1376146183, issued on Nov 16, 2020. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 16, 2020.