| NPI | 1174021992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALLIE K DENNISON Nurse Practitioner 215-586-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2022-12-04 |