Individual
SHWETA PRAVINKUMAR DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD., 6NE67, PHILADELPHIA, PA 19104
(215) 590-1000
Mailing address
305 BAINBRIDGE LN, LANSDALE, PA 19446-6669
(203) 415-8558
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP019897
PA
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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