Individual
DENISE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6608 CASTOR AVE, PHILADELPHIA, PA 19149-2120
(610) 622-2129
Mailing address
6608 CASTOR AVE, PHILADELPHIA, PA 19149-2120
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP013141
PA
Other
Enumeration date
09/11/2013
Last updated
12/22/2013
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