Individual
ANSU S EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Mailing address
9719 CHAPEL RD, PHILADELPHIA, PA 19115-2528
(215) 391-0000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP023033
PA
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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