Organization · Type 2 NPI
La Salle Academy
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1659747863
Active
Practice location
1434 N 2nd St
Philadelphia, PA 19122-3802
Mailing address
970 Sproul Rd
Bryn Mawr, PA 19010-2026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1659747863
La Salle Academy's National Provider Identifier is 1659747863, issued on Aug 12, 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 12, 2015.