Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | SP018485 | PA |
NPI | 1093089567 |
---|---|
Provider Name | Ms. Sharon Yvonne Cave-Adens |
First Address | Philadelphia, PA 19153-1518 |
Second Address | Philadelphia, PA 19107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2012 |
Last Update Date | 24/05/2021 |