Roxan Bardall
Nurse Practitioner - Critical Care Medicine
2301 S Broad St
Philadelphia
, Pennsylvania 19148-3542
Roxan Bardall
Nurse Practitioner - Critical Care Medicine
2301 S Broad St
Philadelphia
, Pennsylvania 19148-3542
(201) 660-3975
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Roxan Bardall
- 1201 Jackson St Unit 144
- Philadelphia, PA
- Zip : 19148-2943
- Phone : (201) 660-3975
Second Address
- Roxan Bardall
- 2301 S Broad St
- Philadelphia, PA
- Zip : 19148-3542
- Phone : (215) 955-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP022642 | PA |
National Provider Identifier
| NPI | 1376146183 |
|---|---|
| Provider Name | Roxan Bardall |
| First Address | Philadelphia, PA 19148-2943 |
| Second Address | Philadelphia, PA 19148-3542 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2020 |
| Last Update Date | 16/11/2020 |
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.