Individual
MS. NIKITA LATASHA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
121 BARKER AVE, SHARON HILL, PA 19079-1417
(267) 235-4245
Mailing address
121 BARKER AVE, SHARON HILL, PA 19079-1417
(267) 235-4245
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP019780
PA
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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