Individual
HEATHER DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-6900
Mailing address
900 CHURCH RD, WYNCOTE, PA 19095-1601
(215) 459-4960
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
SP018161
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
SP018161
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP018161
PA
Other
Enumeration date
11/29/2017
Last updated
06/02/2020
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