| NPI | 1083082523 |
|---|---|
| Doing Business As | EINSTEIN PRACTICE PLAN CRNP |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PROVASNIK Supervisor 215-456-4694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |