Individual
LINDA ATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH ST. AND CIVIC CENTER BLVD., PHILADELPHIA, PA 19104
(215) 590-3174
(215) 590-3053
Mailing address
34TH ST. AND CIVIC CENTER BLVD., PHILADELPHIA, PA 19104
(215) 590-3174
(215) 590-3053
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NJ00355900
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
SP011799
PA
Other
Enumeration date
12/05/2011
Last updated
08/07/2015
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