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Hedy Lydia Siedarta
Primary Care Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1659091437

Hedy Lydia Siedarta is a Primary Care Nurse Practitioner based in Philadelphia, PA and is specialized in Primary Care. Hedy Lydia Siedarta practices in Philadelphia, PA. The NPI Number for Hedy Lydia Siedarta is 1659091437 and holds a License No. SP026217 (Pennsylvania).

The current practice location address for Hedy Lydia Siedarta is 6232 Market St, Philadelphia, PA and can be reached out via phone at 215-383-0191.

Location: 6232 Market St, Philadelphia, PA, 19148-2126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659091437
Provider Name
Hedy Lydia Siedarta
Credential
Provider Entity Type
Individual
Gender
Female
Address
6232 Market St, Philadelphia, PA, 19148-2126
Phone Number
215-383-0191
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6232 Market St
City
Philadelphia
State
Pennsylvania
Zip
19139-2922
Phone Number
215-383-0191
Fax Number
person
Provider Business Mailing Address Details
Address
6232 Market St
City
Philadelphia
State
Pennsylvania
Zip
19139-2922
Phone Number
215-383-0191
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
SP026217 (Pennsylvania)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
SP026217 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
SP026217 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
SP026217 (Pennsylvania)
Definition
Definition to come...
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