Individual
MRS. VALERIE ANN PANICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-3750
Mailing address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP016700
PA
363LP2300X
Primary Care Nurse Practitioner
SP016700
PA
Other
Enumeration date
11/10/2016
Last updated
05/07/2019
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