MEMPHIS STREET ACADEMY CHARTER SCHOOL is a pediatrics nurse practitioner in Philadelphia, PA. MEMPHIS STREET ACADEMY CHARTER SCHOOL NPI is 1588040117. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2950 MEMPHIS ST
PHILADELPHIA, PA
ZIP 19134-314
Phone: (215) 291-4709
Fax: (215) 291-4754
The provider's authorized official is Julie Emig .
The authorized official title is Executive Director and has the following contact phone number (215) 687-6286.
The CLIA number assigned to this NPI record is 39D0980852 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/5/2015 and was last updated on 8/5/2015.