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Ardi Hermawan, NP-C
Primary Care Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1891267753

Ardi Hermawan is a Primary Care Nurse Practitioner based in Miami Gardens, PA and is specialized in Primary Care. Ardi Hermawan practices in Philadelphia, PA and has the professional credentials of NP-C. The NPI Number for Ardi Hermawan is 1891267753 and holds a License No. SP019639 (Pennsylvania).

The current practice location address for Ardi Hermawan is 2101 W Lehigh Ave Ste A, Philadelphia, PA and can be reached out via phone at 267-866-7211.

Location: 2101 W Lehigh Ave Ste A, Philadelphia, PA, 33169-5710
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Provider Profile Details
NPI Number
1891267753
Provider Name
Ardi Hermawan
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
2101 W Lehigh Ave Ste A, Philadelphia, PA, 33169-5710
Phone Number
267-866-7211
Fax Number
Provider Enumeration Date
12/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2101 W Lehigh Ave Ste A
City
State
Zip
19132-2664
Phone Number
267-866-7211
Fax Number
person
Provider Business Mailing Address Details
Address
2101 W Lehigh Ave Ste A
City
State
Zip
19132-2664
Phone Number
267-866-7211
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
SP019639 (Pennsylvania)
Definition
Definition to come...
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