Ardi Hermawan, NP-C is a primary care nurse practitioner in Philadelphia, PA with 6 years of experience. Ardi Hermawan, NP-C NPI is 1891267753. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2101 W LEHIGH AVE STE A
PHILADELPHIA, PA
ZIP 19132-664
Phone: (267) 866-7211
The NPI 1891267753 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/17/2018 and was last updated on 6/11/2020.