Individual
ADDISON HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
132 S 10TH ST, PHILADELPHIA, PA 19107-5244
(800) 533-3669
Mailing address
PO BOX 7776, LANCASTER, PA 17604-7776
(252) 902-7028
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00787300
NJ
363LA2100X
Acute Care Nurse Practitioner
SP018411
PA
Other
Enumeration date
03/06/2018
Last updated
08/20/2018
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