Individual
FATUMA DOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-1000
Mailing address
416 HEATHER DR, LIMERICK, PA 19468-1275
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
VP004230C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103074403
—
PA
Enumeration date
08/13/2007
Last updated
02/12/2016
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