Gayle A Mitura CRNP

NPI 1336474295 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1336474295
Gender Female
Enumeration Date 10/12/2009
Last Updated 04/24/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
3400 CIVIC CENTER BLVD
WEST PAVILION, 4TH FLOOR
PHILADELPHIA PA, 19104-5127, US
Phone (215) 662-2300
Fax
Business Location
3400 CIVIC CENTER BLVD
WEST PAVILION, 4TH FLOOR
PHILADELPHIA PA, 19104-5127, US
Phone (215) 662-2300
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Pennsylvania
License Number SP010346
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According to our database, Gayle A Mitura CRNP NPI is 1336474295, taxonomy code is 363LF0000X and license number is SP010346, license state is located at Pennsylvania. Gayle A Mitura CRNP physically located at 3400 Civic Center Blvd, Philadelphia PA, 19104-5127. NPI Number Gayle A Mitura CRNP has the Individual type.

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1336474295 NPI number is provided on an as is basis without warranty of any kind. 1336474295 is maintained by the National Plan & Provider Enumeration System. The contents of Gayle A Mitura CRNP are for informational purposes only.