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Individual

MRS. MONIKA FISCHER ERTWINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
8556 BUSTLETON AVE, PHILADELPHIA, PA 19152-1218
(215) 698-9200
(215) 698-0816
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP026234
PA

Other

Enumeration date
09/02/2022
Last updated
10/04/2022
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