person
Venessa Lynn Medina
Gerontology Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1063910651

Venessa Lynn Medina is a Gerontology Nurse Practitioner based in Philadelphia, PA and is specialized in Gerontology. Venessa Lynn Medina practices in Philadelphia, PA. The NPI Number for Venessa Lynn Medina is 1063910651 and holds a License No. SP018287 (Pennsylvania).

The current practice location address for Venessa Lynn Medina is 3400 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-615-4949.

Location: 3400 Civic Center Blvd, Philadelphia, PA, 19104-5127
person
Provider Profile Details
NPI Number
1063910651
Provider Name
Venessa Lynn Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
3400 Civic Center Blvd, Philadelphia, PA, 19104-5127
Phone Number
215-615-4949
Fax Number
Provider Enumeration Date
01/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3400 Civic Center Blvd
City
State
Zip
19104-5127
Phone Number
215-615-4949
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Civic Center Blvd
City
State
Zip
19104-5127
Phone Number
215-615-4949
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
SP018287 (Pennsylvania)
Definition
Definition to come...
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