# NURSES UNITED AGAINST COVID19

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

## Provider details

- **NPI number:** 1811570112
- **Authorized official:** MRS. DAVEDA JUNE GRAHAM CRNP (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (267) 588-2328

## Contact information

- **Practice address:** 3939 WARREN STREET, PHILADELPHIA, PA 19104
- **Practice address phone:** (267) 254-9771
- **Practice address fax:** (215) 382-5803
- **Mailing address:** 5751 PINE ST, PHILADELPHIA, PA 19143-1215
- **Mailing address phone:** (267) 254-9771
- **Mailing address fax:** (215) 382-5803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | — | NULL | Yes |
| 163WC1500X | Community Health Registered Nurse | — | — | Yes |
| 363LC1500X | Community Health Nurse Practitioner | — | NULL | — |
| 363LC1500X | Community Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/04/2021
- **Last updated:** 02/07/2022