Whalio Doctors

NPI 1003186701

Candyce S Dorsey, CRNPRN

Practitioner Pediatric Nurse Practitioner Philadelphia, PA

Practice location

Address
1408 S Broad St, Philadelphia, PA 19146-4808
Phone
(215) 755-0700
Mailing address
64 Lakeview CT, Zion Crossroads, VA 22942-6952

Registered specialties (2)

Pediatric Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 0024170681 (VA)
Pediatric Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence SP 011735 (PA)

Registry record

NPI
1003186701
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Jan 2012
Record last updated
28 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.