Individual provider · NPI-1

Caroline Agnew

Nurse Practitioner, Pediatrics · Philadelphia, PA

NPI number1548633662
StatusActive
Last updated in NPPESNov 11, 2015

Details

NPI
1548633662
Entity type
Individual (NPI-1)
Name
Caroline Agnew
Sex
Female
Sole proprietor
No
Enumeration date
Nov 11, 2015
Last updated
Nov 11, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsSP015595PAYes

Other names

  • Caroline Alice Pavloff (Former Name)

Practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Phone 215-427-5000

Mailing address

160 E Erie Ave
Philadelphia, PA 19134-1011

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