Individual
JULIE LOVINKA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 HARBISON AVE, PHILADELPHIA, PA 19149-2912
(215) 333-4300
Mailing address
6501 HARBISON AVE, PHILADELPHIA, PA 19149-2912
(215) 333-4300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
LG-0001415
DE
363LF0000X
Family Nurse Practitioner
Primary
SP021742
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
L8-0010719
DE
Other
Enumeration date
07/27/2020
Last updated
11/16/2024
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