Individual
LATIFAH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6501 HARBISON AVE, PHILADELPHIA, PA 19149-2912
(215) 333-4300
Mailing address
6501 HARBISON AVE, PHILADELPHIA, PA 19149-2912
(215) 333-4300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP023488
PA
Other
Enumeration date
12/28/2020
Last updated
10/10/2021
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