Deborah David
Individual provider Active NPI Licensed Practical Nurse · Glenolden, PA
NPI 1801422290 · NPPES record last updated Mar 17, 2020
Key facts
- NPI
- 1801422290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN297110 (PA)
- Practice address
- 317 E South Ave
Glenolden, PA 19036-2318 - Phone
- (267) 574-1843
- NPI assigned
- Mar 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN297110 | PA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN297110 | PA | Yes |
Addresses
Primary practice location
317 E South Ave
Glenolden, PA 19036-2318
Mailing address
317 E South Ave
Glenolden, PA 19036-2318
Other providers in Glenolden, PA
- Josette Clark
- Lance Montez Coleman-Wilson
- Collins Markets LLC
- Marie Conte
- Andrea Cook
- Jessica Michelle Davidson
- Jessica Diienno
- Divine Providence Village
- Dyamond Home Care
- Elder Ride Express
All providers in Glenolden, PA · Licensed Practical Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.