Individual provider · Type 1 NPI
Desiree M. Trader-Kent, CRNP
Family Nurse Practitioner · Philadelphia, PA
NPI number
1447524533
Active
Practice location
7604 Central Ave, Friend Hall Suite 101
Philadelphia, PA 19111-2433
Fax (215) 728-4293
Mailing address
3509 N Broad St Fl 4
Philadelphia, PA 19140-4105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP011906 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1447524533
Desiree M. Trader-Kent, CRNP's National Provider Identifier is 1447524533, issued on Mar 7, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 22, 2023.