Individual
SPENCER DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
1229 CHESTNUT ST APT BR1, PHILADELPHIA, PA 19107-4109
(401) 644-4894
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP021366
PA
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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