Individual
KHADIJA ZIYADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4700 WISSAHICKON AVE, PHILADELPHIA, PA 19144-4248
(215) 843-9720
Mailing address
6120 WOODLAND AVE, PHILADELPHIA, PA 19142-3200
(267) 342-0095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP021608
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F11190270
AMERICAN ACADEMY OF NURSE PRACTITIONER
—
Enumeration date
01/27/2020
Last updated
05/18/2020
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