KADIAN ENNIS, NURSE PRACTITIONER

NURSE PRACTITIONER

NPI: 1083911408IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

SP021495(PA)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2018

Contact & Hours

Via practice · 2 locations total

Address: 1401 S 31ST ST
PHILADELPHIA, PA 19146
Phone: (215) 925-2400

Locations (2)

Practice Location

1401 S 31ST ST, PHILADELPHIA, PA

Practice Location

20514 LINDEN BLVD, SAINT ALBANS, NY

Quick Facts

NPI: 1083911408
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 2
Years in Practice: 8

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