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NPI 1760127773

IndividualActive

Nafisa Outlaw

NPI 1760127773 · Military Health Care Provider · Philadelphia, PA

Provider details

NPI number: 1760127773
Entity type: Individual
Primary specialty: Military Health Care ProviderOther Service Providers
Sex: Female
Sole proprietor: Yes
License: 739258 (PA)

Practice location

5804 N Marshall St

Philadelphia, PA 19120-1315

Phone: (268) 368-3955

More PA providers

Mailing address

5804 N Marshall St

Philadelphia, PA 19120-1315

Registry dates

Enumerated: 2022-05-03
Last updated: 2022-05-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Nafisa Outlaw — NPI 1760127773, Philadelphia, PA | NPI Central