Individual
MRS. LATEEFA ANTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1427 HORSHAM RD, NORTH WALES, PA 19454-1320
(215) 326-9065
(215) 703-9776
Mailing address
1616 ROSE LN, NORTH WALES, PA 19454-3623
(610) 506-8509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015881
PA
Other
Enumeration date
03/31/2016
Last updated
02/06/2023
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