Provider / Organization | NPI | Date Certified |
---|---|---|
LATIFAH NELSON | 1114514882 | 2021-10-10 |
Latifah Nelson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114514882. Registration indicates Latifah Nelson is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Latifah Nelson CRNP |
Practice Office Address | 6501 HARBISON AVE PHILADELPHIA, PA US |
Practice Office Telephone | 2153334300 |
Mailing Address | 6501 HARBISON AVE PHILADELPHIA, PA 191492912 US |
Business Telephone | 2153334300 |
Code | Practice | License No State |
---|---|---|
363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | SP023488
PA |