Individual
KELSEY FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4870
(215) 955-6000
Mailing address
4649 UMBRIA ST APT 101, PHILADELPHIA, PA 19127-1936
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP030882
PA
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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