Individual
VIRGINIA FONASH SAMHOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2137 WELSH RD, SUITE 1-C, PHILADELPHIA, PA 19115-4963
(215) 969-3944
(215) 969-3886
Mailing address
1394 TANGLEWOOD DR, NORTH WALES, PA 19454-3677
(215) 699-8199
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
UP006861H
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000910336
KHPE
PA
05
—
01021194286
—
PA
Enumeration date
07/07/2006
Last updated
07/08/2007
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