Individual provider · Type 1 NPI
Kevin Enterlin
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1740860170
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Mailing address
1726 Titan St
Philadelphia, PA 19146-3034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP023061 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1740860170
Kevin Enterlin's National Provider Identifier is 1740860170, issued on Apr 9, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 9, 2021.