Individual
ASHA AVIRACHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 3 SILVERSTEIN, PHILADELPHIA, PA 19104
(215) 662-3487
(215) 349-5534
Mailing address
3400 SPRUCE ST, 3 SILVERSTEIN, PHILADELPHIA, PA 19104-4238
(215) 662-3487
(215) 349-5534
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP015677
PA
Other
Enumeration date
11/19/2015
Last updated
06/19/2018
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