institution
Practitioner Llc
Primary Care Nurse Practitioner in Feasterville Trevose, Pennsylvania
NPI 1497316996

Practitioner Llc is a Primary Care Nurse Practitioner based in Feasterville Trevose, PA and is specialized in Primary Care. Practitioner Llc practices in Feasterville Trevose, PA. The NPI Number for Practitioner Llc is 1497316996 and holds a License No. (Pennsylvania).

The current practice location address for Practitioner Llc is 1200 Bustleton Pike Ste 16A3, Feasterville Trevose, PA and can be reached out via phone at 267-223-7738 and via fax at 877-416-0367.

Location: 1200 Bustleton Pike Ste 16A3, Feasterville Trevose, PA, 19053-4118
institution
Provider Profile Details
NPI Number
1497316996
Provider Name
Practitioner Llc
Credential
Provider Entity Type
Organization
Address
1200 Bustleton Pike Ste 16A3, Feasterville Trevose, PA, 19053-4118
Phone Number
267-223-7738
Fax Number
877-416-0367
Provider Enumeration Date
06/25/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1037033750001 05 PA
institution
Provider Business Practice Location Address Details
Address
1200 Bustleton Pike Ste 16A3
City
State
Zip
19053-4118
Phone Number
267-223-7738
Fax Number
877-416-0367
person
Provider Business Mailing Address Details
Address
1200 Bustleton Pike Ste 16A3
City
State
Zip
19053-4118
Phone Number
267-223-7738
Fax Number
877-416-0367
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
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Definition
Definition to come...
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