Kadyija Caressa Lawrence, APRN
Nurse Practitioner in Philadelphia, PA. Individual provider (NPI-1).
NPI number1619704129
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1619704129
- Entity type
- Individual (NPI-1)
- Name
- Kadyija Caressa Lawrence
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2024
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP030549 | PA | Yes |
Practice location
1500 Chestnut StSuite 2 #1266
Philadelphia, PA 19102
Phone 267-250-8098
Mailing address
1500 Chestnut StSuite 2 #1266
Philadelphia, PA 19102
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