Organization · Type 2 NPI

Creighton Charter School

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1912307307 Active

Practice location

5401 Tabor Ave
Philadelphia, PA 19120-2130

Call (215) 537-2531 Map

Mailing address

970 Sproul Rd
Bryn Mawr, PA 19010-2026

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNone listed

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About NPI 1912307307

Creighton Charter School's National Provider Identifier is 1912307307, issued on Sep 4, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 4, 2014.