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Organization
NURSES UNITED AGAINST COVID19
Active
Organization
NURSES UNITED AGAINST COVID19
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAVEDA JUNE GRAHAM CRNP (CHIEF MEDICAL OFFICER)
(267) 588-2328
Entity
Organization
Contact information
Practice address
3939 WARREN STREET, PHILADELPHIA, PA 19104
(267) 254-9771
(215) 382-5803
Mailing address
5751 PINE ST, PHILADELPHIA, PA 19143-1215
(267) 254-9771
(215) 382-5803
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
NULL
163WC1500X
Community Health Registered Nurse
Primary
—
—
363LC1500X
Community Health Nurse Practitioner
—
NULL
363LC1500X
Community Health Nurse Practitioner
—
—
Other
Enumeration date
05/04/2021
Last updated
02/07/2022
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