Organization · Type 2 NPI

Memphis Street Academy Charter School

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1588040117 Active

Practice location

2950 Memphis St
Philadelphia, PA 19134-4314

Call (215) 291-4709 Map

Fax (215) 291-4754

Mailing address

970 Sproul Rd
Bryn Mawr, PA 19010-2026

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNone listed

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1588040117

Memphis Street Academy Charter School's National Provider Identifier is 1588040117, issued on Aug 5, 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 Aug 5, 2015.