Individual provider · Type 1 NPI

Spencer Dean, CRNP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1376183947 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Mailing address

1229 Chestnut St Apt BR1
Philadelphia, PA 19107-4109

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP021366 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1376183947

Spencer Dean, CRNP's National Provider Identifier is 1376183947, issued on Jan 13, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 13, 2020.