Individual provider · Type 1 NPI
Desmond Kneib Sanderson Jr., FNP-C
Nurse Practitioner · Philadelphia, PA
Practice location
7032 Emlen Street
Philadelphia, PA 19149-3603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 26NJ00613800 (NJ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1861862286
Desmond Kneib Sanderson Jr., FNP-C's National Provider Identifier is 1861862286, issued on Sep 28, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 23, 2025.