Individual
KIMBERLY M PAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
51 N 39TH ST, 266 WRIGHT SAUNDERS, PHILADELPHIA, PA 19104-2640
(215) 662-9195
Mailing address
51 N 39TH ST, 266 WRIGHT SAUNDERS, PHILADELPHIA, PA 19104-2640
(215) 662-9195
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP010146
PA
Other
Enumeration date
02/16/2009
Last updated
03/09/2009
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