person
Henrietta D Mtshali, PA-C
Medical Physician Assistant in Philadelphia, Pennsylvania
NPI 1043493901

Henrietta D Mtshali is a Medical Physician Assistant based in Philadelphia, PA and is specialized in Medical. Henrietta D Mtshali practices in Philadelphia, PA and has the professional credentials of PA-C. The NPI Number for Henrietta D Mtshali is 1043493901 and holds a License No. MA003230L (Pennsylvania).

The current practice location address for Henrietta D Mtshali is 2100 W Girard Ave, Philadelphia, PA and can be reached out via phone at 215-685-0800 and via fax at 215-865-0846.

Location: 2100 W Girard Ave, Philadelphia, PA, 19148-3542
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Provider Profile Details
NPI Number
1043493901
Provider Name
Henrietta D Mtshali
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2100 W Girard Ave, Philadelphia, PA, 19148-3542
Phone Number
215-685-0800
Fax Number
215-865-0846
Provider Enumeration Date
12/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
597586 01 PA MEDICARE GROUP
CD4829 01 PA RR MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
2100 W Girard Ave
City
State
Zip
19130-1400
Phone Number
215-685-0800
Fax Number
215-865-0846
person
Provider Business Mailing Address Details
Address
2100 W Girard Ave
City
State
Zip
19130-1400
Phone Number
215-685-0800
Fax Number
215-865-0846
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA003230L (Pennsylvania)
Definition
Definition to come...
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