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Organization
EINSTEIN PRACTICE PLAN, INC.
Active
Organization
EINSTEIN PRACTICE PLAN, INC.
Active
Other names
Einstein Practice Plan CRNP
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PROVASNIK (SUPERVISOR)
(215) 456-4694
Entity
Organization
Contact information
Practice address
5501 OLD YORK RD, KORMAN 202, PHILADELPHIA, PA 19141-3018
(215) 456-4694
(215) 456-5926
Mailing address
5501 OLD YORK RD, KORMAN 202, PHILADELPHIA, PA 19141-3018
(215) 456-4694
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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