Individual
MR. DESMOND KNEIB SANDERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
7032 EMLEN STREET, PHILADELPHIA, PA 19149-3603
(215) 409-8466
Mailing address
7032 EMLEN STREET, PHILADELPHIA, PA 19149-3603
(215) 409-8466
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00613800
NJ
Other
Enumeration date
09/28/2015
Last updated
12/23/2025
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