Individual
MRS. DIANE HELENE PERKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH & CIVIC CENER BLVD, PHILADELPHIA, PA 19104
(267) 234-1141
Mailing address
1077 LAVERA RD, WARMINSTER, PA 18974-2661
(267) 234-1141
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP009668
PA
Other
Enumeration date
01/04/2008
Last updated
12/30/2014
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