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NPI Code Detail

MEDICARE: NADINE ALFRED CRNP, FNP

MEDICARE:   NADINE  ALFRED  CRNP, FNP
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 PractitionerSP02883PA

General Provider Information

NPI Number : 1306487095
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADINE ALFRED CRNP, FNP
Provider Business Mailing Address
First Line : 7437 BARCLAY RD
Second Line :
City : CHELTENHAM
State : PA
Zip : 19012-1302
Country : US
Telephone Number : 267-243-1807
Fax Number :
Provider Business Practice Location Address
First Line : 2109 RED LION RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-1711
Country : US
Telephone Number : 215-673-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2019
Last Update Date : 10/03/2019

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