Individual
PAIGE BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6608 CASTOR AVE, PHILADELPHIA, PA 19149-2120
(215) 342-7710
Mailing address
630 S AMERICAN ST, PHILADELPHIA, PA 19147-2304
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP017745
PA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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