Individual
CORIN ELIZABETH DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
4417 N 6TH ST, PHILADELPHIA, PA 19140-2319
(215) 302-3600
Mailing address
4417 N 6TH ST, PHILADELPHIA, PA 19140-2319
(215) 302-3600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
649857
PA
363LF0000X
Family Nurse Practitioner
Primary
SP022407
PA
Other
Enumeration date
07/23/2020
Last updated
01/03/2025
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