Individual
AVANTI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
4203 CHESTER AVE APT 4I, PHILADELPHIA, PA 19104-7318
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP019524
PA
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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