Organization
NURSES UNITED AGAINST COVID19
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAVEDA JUNE GRAHAM CRNP (CHIEF MEDICAL OFFICER)
(267) 588-2328
Entity
Organization
Contact information
Practice address
3939 WARREN STREET, PHILADELPHIA, PA 19104
(267) 254-9771
(215) 382-5803
Mailing address
5751 PINE ST, PHILADELPHIA, PA 19143-1215
(267) 254-9771
(215) 382-5803
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP016107
CRNP LISENCE
PA
Enumeration date
05/04/2021
Last updated
02/07/2022
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