Charlotta Swain CRNP

NPI 1043394190 - Nurse Practitioner - 363LX0001X

NPI Details
NPI 1043394190
Gender Female
Enumeration Date 10/25/2006
Last Updated 10/12/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
5401 OLD YORK RD
SUITE 400
PHILADELPHIA PA, 19141-3030, US
Phone (215) 456-3440
Fax (215) 254-2599
Business Location
101 E OLNEY AVE
SUITE 400
PHILADELPHIA PA, 19120-2421, US
Phone (215) 456-7000
Fax (215) 254-2599
Toxanomy
Taxonomy Code 363LX0001X
License State Pennsylvania
License Number TP003928G
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According to our database, Charlotta Swain CRNP NPI is 1043394190, taxonomy code is 363LX0001X and license number is TP003928G, license state is located at Pennsylvania. Charlotta Swain CRNP physically located at 5401 Old York Rd, Philadelphia PA, 19141-3030. NPI Number Charlotta Swain CRNP has the Individual type.

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1043394190 NPI number is provided on an as is basis without warranty of any kind. 1043394190 is maintained by the National Plan & Provider Enumeration System. The contents of Charlotta Swain CRNP are for informational purposes only.