Individual
MRS. LESLIE J FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
833 CHESTNUT ST, 1ST FLOOR, PHILADELPHIA, PA 19107-4414
(215) 955-5000
(215) 503-0523
Mailing address
833 CHESTNUT ST, 1ST FLOOR, PHILADELPHIA, PA 19107-4414
(215) 955-5000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
SP009410
PA
363L00000X
Nurse Practitioner
Primary
SP009410
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102885774
—
PA
Enumeration date
08/13/2006
Last updated
09/19/2014
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