Individual
ASHA JOSE SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-4600
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-4600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP025541
PA
Other
Enumeration date
10/18/2022
Last updated
01/03/2023
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