Individual
MRS. PANTEA PARSA MINNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
34TH STREET AND CIVIC CENTER BLVD, 11TH FLOOR NW TOWER, SUITE 30, PHILADELPHIA, PA 19104
(215) 590-3618
(215) 590-3053
Mailing address
34TH STREET AND CIVIC CENTER BLVD., 11TH FLOOR NW TOWER, SUITE 30, PHILADELPHIA, PA 19104
(215) 590-3618
(215) 590-3053
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP009934
PA
Other
Enumeration date
10/22/2007
Last updated
09/10/2008
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