Individual
BRIANA LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE STREET, GROUND RAVDIN, PHILADELPHIA, PA 19104
(215) 662-6698
Mailing address
3400 SPRUCE STREET, GROUND RAVDIN, PHILADELPHIA, PA 19104
(215) 662-6698
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R180897
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
SP011349
PA
Other
Enumeration date
05/12/2008
Last updated
09/18/2012
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