Individual
NICE JOSEPH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7515 STENTON AVE, PHILADELPHIA, PA 19150-3710
(215) 440-9547
Mailing address
7515 STENTON AVE, PHILADELPHIA, PA 19150-3710
(215) 440-9547
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP018784
PA
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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