| NPI | 1396261764 |
|---|---|
| Doing Business As | SEPA MIDLEVEL PRACTIONERS |
| Entity Type | Organization |
| Authorized Contact | AMIEE BRENNAN Credentialing Supervisor 610-567-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2018-03-17 |