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NPI Code Detail

MEDICARE: DARBY DAY

MEDICARE: DARBY DAY
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerSP024966PA

General Provider Information

NPI Number : 1174275457
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARBY DAY
Provider Business Mailing Address
First Line : 2600 N AMERICAN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19133-3413
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 N AMERICAN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19133-3413
Country : US
Telephone Number : 215-739-2669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2022
Last Update Date : 08/25/2022

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Directions to “ DARBY DAY ” Practice Location

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