Individual
SUNDALY OUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3509 N. BROAD STREET, 4TH FLOOR, BOYER PAVILION, PHILADELPHIA, PA 19140
(215) 707-6144
(215) 707-5901
Mailing address
3509 N. BROAD STREET, 4TH FLOOR, BOYER PAVILION, PHILADELPHIA, PA 19140
(215) 707-6144
(215) 707-5901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019478
PA
Other
Enumeration date
11/21/2018
Last updated
03/04/2021
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