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NPI Code Detail

MEDICARE: EMILY ANDERSON CRNP

MEDICARE: EMILY ANDERSON CRNP
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 PractitionerSP021210PA

General Provider Information

NPI Number : 1326686528
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ANDERSON CRNP
Provider Business Mailing Address
First Line : 1401 S 31ST ST
Second Line : FL 2
City : PHILADELPHIA
State : PA
Zip : 19146-3506
Country : US
Telephone Number : 215-925-2400
Fax Number :
Provider Business Practice Location Address
First Line : 800 WASHINGTON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-4717
Country : US
Telephone Number : 215-339-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2019
Last Update Date : 02/07/2020

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