Mr. David Thomas Deery
Nurse Practitioner - Pediatrics
3551 N Broad St
Philadelphia
, Pennsylvania 19140-4160
Mr. David Thomas Deery
Nurse Practitioner - Pediatrics
3551 N Broad St
Philadelphia
, Pennsylvania 19140-4160
(813) 281-8113
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mr. David Thomas Deery
- Shriners Hospital For Children Philadelphia Lockbox #7642 - Po Box 8500
- Philadelphia, PA
- Zip : 19178-0001
- Fax : (813) 281-8113
- Phone : (813) 281-8478
Second Address
- Mr. David Thomas Deery
- 3551 N Broad St
- Philadelphia, PA
- Zip : 19140-4160
- Fax : (215) 430-4079
- Phone : (215) 430-4022
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | MT2222222 | PA |
National Provider Identifier
| NPI | 1013159102 |
|---|---|
| Provider Name | Mr. David Thomas Deery |
| First Address | Philadelphia, PA 19178-0001 |
| Second Address | Philadelphia, PA 19140-4160 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2009 |
| Last Update Date | 21/07/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.