Individual
BARBARA SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
100 E LEHIGH AVE, PHILADELPHIA, PA 19125-1012
(215) 707-1200
Mailing address
5727 MALVERN AVE, PHILADELPHIA, PA 19131-2219
(267) 806-0185
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP023117
PA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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