Individual
LUIS SOTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNP, FNP-BC
Contact information
Practice address
5945 LANSDOWNE AVE, PHILADELPHIA, PA 19151-3932
(215) 878-4585
Mailing address
5945 LANSDOWNE AVE, PHILADELPHIA, PA 19151-3932
(215) 878-4585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP033916
PA
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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