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Individual

ANDREA D DANIELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
(215) 951-2986
Mailing address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
(215) 951-2986

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00888600
NJ
363L00000X
Nurse Practitioner
LP-0000270
DE
363L00000X
Nurse Practitioner
Primary
SP019961
PA
363LP2300X
Primary Care Nurse Practitioner
CNP161106
ME

Other

Enumeration date
11/17/2016
Last updated
11/08/2023
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