Individual
ANA MAITIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
800 N BROAD ST, PFP CHARTER SCHOOL - NURSE PRACTITIONER, PHILADELPHIA, PA 19130-2202
(267) 240-9964
Mailing address
100 W OXFORD ST, EDUCATION-PLUS, INC., PHILADELPHIA, PA 19122-3927
(267) 240-9964
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP006237B
PA
Other
Enumeration date
06/25/2007
Last updated
10/22/2015
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