Individual
MRS. KSENIA SMIRNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9880 BUSTLETON AVE, SUITE 208, PHILADELPHIA, PA 19115-2185
(215) 677-0667
(215) 677-1063
Mailing address
700 MASON DR, WARMINSTER, PA 18974-2706
(267) 243-0671
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012947
PA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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