IndividualActive
Carol Gung, RN, MSN, AGNP-BC
NPI 1750896866 · Gerontology Nurse Practitioner · Philadelphia, PA
Provider details
- NPI number
- 1750896866
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, MSN, AGNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- RN302959L (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
925 Chestnut St Ste 420a
Philadelphia, PA 19107-4216
Phone: (215) 955-8874
Approximate (ZIP-level) locationGet directions
Mailing address
2016 Longshore Ave
Philadelphia, PA 19149-1815
Registry dates
- Enumerated
- 2017-12-12
- Last updated
- 2017-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.