Organization
CHILDRENS HEALTH CARE ASSOCIATE'S
Active
Other names
CHCA Nurse Practitioners
Organization subpart
No
Provider details
NPI number
Authorized official
MIXZA SANTA (ENROLLMENT MANAGER)
(267) 425-9233
Entity
Organization
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(267) 425-9299
Mailing address
100 E PENN SQ FL 9, CHCA NURSE PRACTITIONERS, PHILADELPHIA, PA 19107-3323
(267) 425-9200
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
—
PA
Other
Enumeration date
10/04/2006
Last updated
11/12/2013
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