Organization · Type 2 NPI
A Fulfilling Life
General Practice Registered Nurse · Philadelphia, PA
NPI number
1396693909
Active
Practice location
3000 W Master St Apt 408
Philadelphia, PA 19121-4416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | None listed |
| Licensed Practical Nurse | 164W00000X | None listed |
General Practice Registered Nurse: Definition to come...
Other general practice registered nurse providers in Philadelphia
About NPI 1396693909
A Fulfilling Life's National Provider Identifier is 1396693909, issued on Mar 19, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 19, 2026.