Healthcare Provider Details

I. General information

NPI: 1982299327
Provider Name (Legal Business Name): NADEGE SAINTANAS AKIL FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2021
Last Update Date: 05/23/2022
Certification Date: 05/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 CENTRAL AVE FRIENDS HALL LOWER LEVEL
PHILADELPHIA PA
19111
US

IV. Provider business mailing address

7600 CENTRAL AVE LOWR LEVEL
PHILADELPHIA PA
19111-2442
US

V. Phone/Fax

Practice location:
  • Phone: 215-214-3100
  • Fax:
Mailing address:
  • Phone: 267-225-1368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP021433
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: