# CARBON DRIP SOCIAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508622176
- **Authorized official:** DR. LISA MARIE HARRELSON DNP, CRNP, FNP-C (OWNER)
- **Authorized official phone:** (267) 307-2276

## Contact information

- **Practice address:** 454 KRAMS AVE, PHILADELPHIA, PA 19128-3310
- **Practice address phone:** (267) 307-2276
- **Mailing address:** 454 KRAMS AVE, PHILADELPHIA, PA 19128-3310
- **Mailing address phone:** (267) 307-2276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2024
- **Last updated:** 02/22/2024