Individual
TING TING XIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
3029 DISSTON ST, PHILADELPHIA, PA 19149-1902
(717) 424-8427
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP029533
PA
Other
Enumeration date
05/17/2024
Last updated
05/21/2024
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