person
Ms. Nellie Riendeau Lazar, CRNP
Primary Care Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1891778239

Nellie Riendeau Lazar is a Primary Care Nurse Practitioner based in Philadelphia, PA and is specialized in Primary Care. Nellie Riendeau Lazar practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Nellie Riendeau Lazar is 1891778239 and holds a License No. SP008400 (Pennsylvania).

The current practice location address for Nellie Riendeau Lazar is 3535 Market St. Ste. 1371, Philadelphia, PA and can be reached out via phone at 215-590-3626 and via fax at 215-590-0426. You can also correspond with Nellie Riendeau Lazar through the mailing address at 3535 MARKET ST. STE. 1371, PHILADELPHIA, PA - 19104-5021 (mailing address contact number: 215-590-3626).

Location: 3535 Market St. Ste. 1371, Philadelphia, PA, 19104-5021
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Provider Profile Details
NPI Number
1891778239
Provider Name
Nellie Riendeau Lazar
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
3535 Market St. Ste. 1371, Philadelphia, PA, 19104-5021
Phone Number
215-590-3626
Fax Number
215-590-0426
Provider Enumeration Date
11/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1024965980001 05 PA
1891778239 01 NPI
institution
Provider Business Practice Location Address Details
Address
3535 Market St. Ste. 1371
City
State
Zip
19104-5021
Phone Number
215-590-3626
Fax Number
215-590-0426
person
Provider Business Mailing Address Details
Address
3535 Market St. Ste. 1371
City
State
Zip
19104-5021
Phone Number
215-590-3626
Fax Number
215-590-0426
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
SP008400 (Pennsylvania)
Definition
Definition to come...
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