Individual
DEANA PAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4000
Mailing address
424 PENNSYLVANIA AVE, PROSPECT PARK, PA 19076-1616
(610) 842-2827
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP027652
PA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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