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Individual

MS. DALE ELIZABETH AYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP,CPNP,PMHS,CSN

Contact information

Practice address
100 W. OXFORD ST., PHILADELPHIA, PA 19122
(215) 687-6286
Mailing address
100 W OXFORD ST, PHILADELPHIA, PA 19122-3927
(215) 687-6286

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
TP005037D
PA

Other

Enumeration date
12/16/2008
Last updated
11/02/2015
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