Individual
JUDITH HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
833 CHESTNUT STREET, SUITE 301, PHILADELPHIA, PA 19107
(215) 955-4538
(215) 923-9186
Mailing address
833 CHESTNUT STREET, SUITE 301, PHILADELPHIA, PA 19107
(215) 955-4538
(215) 923-9186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011335
PA
Other
Enumeration date
09/07/2011
Last updated
01/20/2012
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