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Walettra Charmese Enoch, NP
Primary Care Nurse Practitioner in Media, Pennsylvania
NPI 1669941027

Walettra Charmese Enoch is a Primary Care Nurse Practitioner based in Claymont, PA and is specialized in Primary Care. Walettra Charmese Enoch practices in Media, PA and has the professional credentials of NP. The NPI Number for Walettra Charmese Enoch is 1669941027 and holds a License No. SP019360 (Pennsylvania).

The current practice location address for Walettra Charmese Enoch is 602 E Baltimore Pike, Media, PA and can be reached out via phone at 215-397-7104.

Location: 602 E Baltimore Pike, Media, PA, 19703-1775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669941027
Provider Name
Walettra Charmese Enoch
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
602 E Baltimore Pike, Media, PA, 19703-1775
Phone Number
215-397-7104
Fax Number
Provider Enumeration Date
11/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1912199415 05 PA
institution
Provider Business Practice Location Address Details
Address
602 E Baltimore Pike
City
Media
State
Pennsylvania
Zip
19063-1735
Phone Number
215-397-7104
Fax Number
person
Provider Business Mailing Address Details
Address
602 E Baltimore Pike
City
Media
State
Pennsylvania
Zip
19063-1735
Phone Number
215-397-7104
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
SP019360 (Pennsylvania)
Definition
Definition to come...
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