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NPI Code Detail

MEDICARE: MARIA GUADALUPE MAGANA

MEDICARE:   MARIA GUADALUPE MAGANA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP030587PA

General Provider Information

NPI Number : 1841017324
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA GUADALUPE MAGANA
Provider Business Mailing Address
First Line : 3509 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-4105
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7600 CENTRAL AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-2442
Country : US
Telephone Number : 215-728-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2024
Last Update Date : 01/22/2026

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Directions to “ MARIA GUADALUPE MAGANA ” Practice Location

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