Individual
MRS. NICOLE JOYCE SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5501 OLD YORK RD FL LIFTER2, PHILADELPHIA, PA 19141-3018
(215) 456-6828
(215) 456-6769
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
26NJ00848700
NJ
363LN0000X
Neonatal Nurse Practitioner
Primary
SP025748
PA
363LP0200X
Pediatric Nurse Practitioner
SP015941
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031857610002
—
PA
Enumeration date
05/27/2016
Last updated
12/14/2022
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