# DREXEL UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Drexel CNHP Nurse Practitioner Faculty Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790203669
- **Authorized official:** ASHLEY KUKLA (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (215) 255-7822

## Contact information

- **Practice address:** 1601 CHERRY ST FL 2, PHILADELPHIA, PA 19102-1306
- **Practice address phone:** (215) 255-7822
- **Practice address fax:** (215) 255-7825
- **Mailing address:** 1601 CHERRY ST STE 11511, PHILADELPHIA, PA 19102-1310
- **Mailing address phone:** (215) 255-7822
- **Mailing address fax:** (215) 255-7825

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2017
- **Last updated:** 09/06/2017