Individual
ANSAMMA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9801 FRANKFORD AVE, PHILADELPHIA, PA 19114-2094
(215) 637-7700
Mailing address
410 LARKSPUR ST, PHILADELPHIA, PA 19116-2712
(215) 637-7700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP033946
PA
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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