Individual provider · Type 1 NPI
Ananya Datta, N.P.
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1457735037
Active
Practice location
160 E Erie Ave
Philadelphia, PA 19134-1011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 670377 (NY) |
| Registered Nurse | 163W00000X | 183395 (TN) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP016656 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1457735037
Ananya Datta, N.P.'s National Provider Identifier is 1457735037, issued on Jul 14, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 17, 2016.