Individual
ILONA KHARAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
50 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2249
(215) 572-5200
(215) 572-6456
Mailing address
174 COMMONWEALTH DR, NEWTOWN, PA 18940-2317
(267) 242-6213
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP013660
PA
Other
Enumeration date
04/07/2014
Last updated
12/02/2014
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