Individual
NADIA FONAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1068 W BALTIMORE PIKE, MEDIA, PA 19063-5104
(484) 227-2580
Mailing address
110 PADDOCK LN, MEDIA, PA 19063-1110
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP024125
PA
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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