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Kurniawan Teja, MSN,CRNP,FNP-BC
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1427759273

Kurniawan Teja is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Kurniawan Teja practices in Philadelphia, PA and has the professional credentials of MSN,CRNP,FNP-BC. The NPI Number for Kurniawan Teja is 1427759273 and holds a License No. SP027170 (Pennsylvania).

The current practice location address for Kurniawan Teja is 7118 Matthias St, Philadelphia, PA and can be reached out via phone at 267-984-3743.

Location: 7118 Matthias St, Philadelphia, PA, 19128-3230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427759273
Provider Name
Kurniawan Teja
Credential
MSN,CRNP,FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
7118 Matthias St, Philadelphia, PA, 19128-3230
Phone Number
267-984-3743
Fax Number
Provider Enumeration Date
03/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7118 Matthias St
City
Philadelphia
State
Pennsylvania
Zip
19128-3230
Phone Number
267-984-3743
Fax Number
person
Provider Business Mailing Address Details
Address
7118 Matthias St
City
Philadelphia
State
Pennsylvania
Zip
19128-3230
Phone Number
267-984-3743
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP027170 (Pennsylvania)
Definition
Definition to come...
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