Individual provider · Type 1 NPI
Nafisa Sade Outlaw
Military Health Care Provider · Philadelphia, PA
NPI number
1760127773
Active
Practice location
5804 N Marshall St
Philadelphia, PA 19120-1315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 739258 (PA) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Other military health care provider providers in Philadelphia
About NPI 1760127773
Nafisa Sade Outlaw's National Provider Identifier is 1760127773, issued on May 3, 2022. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Philadelphia, PA. The record was last updated on May 3, 2022.