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BASHIRA CHARLES, PHD, RN, CRNP – NPI #1861999542
Pediatrics

NPI Profile for Dr BASHIRA CHARLES in PHILADELPHIA, PA.

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Contact Information

BASHIRA CHARLES, PHD, RN, CRNP
440 NORTH BROAD STREET
STUDENT HEALTH SERVICES
PHILADELPHIA, PA  10130-4015
 Phone: 215-400-5704
 Fax: 215-400-4173
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Pediatrics

 363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BASHIRA CHARLES · (Female)

NPI Number 1861999542
Status Active
Credentials PHD, RN, CRNP
Entity Individual
Enumeration date 04/10/2018
Last updated 04/10/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # SP008021
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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