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Sivily Pothen
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1285181982

Sivily Pothen is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Sivily Pothen practices in Philadelphia, PA. The NPI Number for Sivily Pothen is 1285181982 and holds a License No. 9206320 (Pennsylvania).

The current practice location address for Sivily Pothen is 1700 S Broad St, Philadelphia, PA and can be reached out via phone at 215-685-1803.

Location: 1700 S Broad St, Philadelphia, PA, 19145-2340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285181982
Provider Name
Sivily Pothen
Credential
Provider Entity Type
Individual
Gender
Female
Address
1700 S Broad St, Philadelphia, PA, 19145-2340
Phone Number
215-685-1803
Fax Number
Provider Enumeration Date
09/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1700 S Broad St
City
Philadelphia
State
Pennsylvania
Zip
19145-2340
Phone Number
215-685-1803
Fax Number
person
Provider Business Mailing Address Details
Address
1700 S Broad St
City
Philadelphia
State
Pennsylvania
Zip
19145-2340
Phone Number
215-685-1803
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9206320 (Florida)
Definition
Definition to come...
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