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Miyako Tamada
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1861154403

Miyako Tamada is a Family Nurse Practitioner based in Glenside, PA and is specialized in Family. Miyako Tamada practices in Philadelphia, PA. The NPI Number for Miyako Tamada is 1861154403 and holds a License No. SP023521 (Pennsylvania).

The current practice location address for Miyako Tamada is 7515 Stenton Ave, Philadelphia, PA and can be reached out via phone at 215-842-5246.

Location: 7515 Stenton Ave, Philadelphia, PA, 19038-2824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861154403
Provider Name
Miyako Tamada
Credential
Provider Entity Type
Individual
Gender
Female
Address
7515 Stenton Ave, Philadelphia, PA, 19038-2824
Phone Number
215-842-5246
Fax Number
Provider Enumeration Date
10/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7515 Stenton Ave
City
Philadelphia
State
Pennsylvania
Zip
19150-3710
Phone Number
215-842-5246
Fax Number
person
Provider Business Mailing Address Details
Address
7515 Stenton Ave
City
Philadelphia
State
Pennsylvania
Zip
19150-3710
Phone Number
215-842-5246
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP023521 (Pennsylvania)
Definition
Definition to come...
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