Individual
CHRISTIANA AYENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
561 FAIRTHORNE AVE, PHILADELPHIA, PA 19128-2412
(267) 338-2263
Mailing address
369 WHEATFIELD CIR, HATFIELD, PA 19440-3089
(215) 756-4862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP021118
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28878850
28878850
PA
Enumeration date
01/08/2020
Last updated
01/09/2020
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