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Organization

DREXEL UNIVERSITY

Active
Other names
Drexel CNHP Nurse Practitioner Faculty Practice
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY KUKLA (CREDENTIALING SPECIALIST)
(215) 255-7822
Entity
Organization

Contact information

Practice address
1601 CHERRY ST FL 2, PHILADELPHIA, PA 19102-1306
(215) 255-7822
(215) 255-7825
Mailing address
1601 CHERRY ST STE 11511, PHILADELPHIA, PA 19102-1310
(215) 255-7822
(215) 255-7825

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
08/31/2017
Last updated
09/06/2017
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