Individual
MRS. KRISTEN DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN CPNP-AC CPHON
Contact information
Practice address
34TH STREET AND CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104
(800) 879-2467
Mailing address
1925 SPRUCE ST, APT 4F, PHILADELPHIA, PA 19103-5717
(508) 364-2634
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP014472
PA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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