Individual
DHIVYA T PATTANIYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
4417 N 6TH ST, PHILADELPHIA, PA 19140-2319
(215) 302-3600
(215) 329-2369
Mailing address
8118 OLD YORK RD STE D, ELKINS PARK, PA 19027-1423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019758
PA
Other
Enumeration date
12/11/2018
Last updated
05/06/2025
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