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Tamika Spady, CRNP

Nurse Practitioner, Family in Philadelphia, PA. Individual provider (NPI-1).

NPI number1982145165
StatusActive
Last updated in NPPESMar 20, 2017

Details

NPI
1982145165
Entity type
Individual (NPI-1)
Name
Tamika Spady
Credential
CRNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 20, 2017
Last updated
Mar 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilySP017179PAYes

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Phone 215-707-2000

Mailing address

3401 N Broad St
Philadelphia, PA 19140-5103

Phone 215-707-2000

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