Individual
MS. JOHANNA ROSE YURKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN
Contact information
Practice address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(215) 339-4561
(215) 339-4523
Mailing address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(215) 339-4561
(215) 339-4523
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
RN299026L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN299026L
COMMONWEALTH OF PENNSYLVANIA
PA
Enumeration date
01/24/2012
Last updated
01/24/2012
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