Individual
BRIONA UPSHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2147 N STANLEY ST, PHILADELPHIA, PA 19121-1120
(267) 236-2086
Mailing address
2147 N STANLEY ST, PHILADELPHIA, PA 19121-1120
(267) 236-2086
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
299476
PA
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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