Individual provider · Type 1 NPI
Nellie Riendeau Lazar, CRNP
Primary Care Nurse Practitioner · Philadelphia, PA
NPI number
1891778239
Active
Practice location
3535 Market St. Ste. 1371, Chop Adolescent Initiative
Philadelphia, PA 19104-5021
Fax (215) 590-0426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | SP008400 (PA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1891778239
Nellie Riendeau Lazar, CRNP's National Provider Identifier is 1891778239, issued on Nov 21, 2005. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 17, 2014.