CREIGHTON CHARTER SCHOOL NPI 1912307307

NPI Information

NPI: 1912307307
Provider Name: CREIGHTON CHARTER SCHOOL
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
5401 TABOR AVE
PHILADELPHIA, PA
ZIP 19120
Phone: (215) 537-2531
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CREIGHTON CHARTER SCHOOL is a pediatrics nurse practitioner in Philadelphia, PA. CREIGHTON CHARTER SCHOOL NPI is 1912307307. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5401 TABOR AVE
PHILADELPHIA, PA
ZIP 19120-130
Phone: (215) 537-2531

The provider's authorized official is Julie Cousler-emig .
The authorized official title is Owner and has the following contact phone number (215) 687-6286.

The enumeration date for this NPI number is 9/4/2014 and was last updated on 9/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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