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Lavenia Fain
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1649697202

Lavenia Fain is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Lavenia Fain practices in Philadelphia, PA. The NPI Number for Lavenia Fain is 1649697202 and holds a License No. SP025249 (Pennsylvania).

The current practice location address for Lavenia Fain is 4700 Wissahickon Ave Ste 119, Philadelphia, PA and can be reached out via phone at 215-843-9720.

Location: 4700 Wissahickon Ave Ste 119, Philadelphia, PA, 19102-5021
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Provider Profile Details
NPI Number
1649697202
Provider Name
Lavenia Fain
Credential
Provider Entity Type
Individual
Gender
Female
Address
4700 Wissahickon Ave Ste 119, Philadelphia, PA, 19102-5021
Phone Number
215-843-9720
Fax Number
Provider Enumeration Date
03/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4700 Wissahickon Ave Ste 119
City
State
Zip
19144-4248
Phone Number
215-843-9720
Fax Number
person
Provider Business Mailing Address Details
Address
4700 Wissahickon Ave Ste 119
City
State
Zip
19144-4248
Phone Number
215-843-9720
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
SP013612 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
SP025249 (Pennsylvania)
Definition
Definition to come...
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