MRS. NAA-FOFOI DORSEY WHARTON


Address: 4700 Wissahickon Ave, Building D, Philadelphia, PA 19144
Phone: 2158439720

MRS. NAA-FOFOI DORSEY WHARTON (NPI# 1639792088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639792088
Entity Type Individual
Full Name MRS. NAA-FOFOI DORSEY WHARTON
Credential CRNP
Practice Address 4700 Wissahickon Ave
Building D
Philadelphia
PA 19144
Mailing Address 6120-b Woodland Ave
2nd Floor
Philadelphia
PA 19142
Practice Telephone 2158439720
Mailing Telephone 2157274721
Enumeration Date 2020-05-20
Last Update Date 2020-05-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP021980 PA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6120-b Woodland Ave, 2nd Floor, Philadelphia, PA 19142 2157274721

Office Location

Street Address 4700 WISSAHICKON AVE
BUILDING D
City PHILADELPHIA
State PA
Zip Code 19144

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831191766 Donna L. Torrisi Nurse Practitioner 4700 Wissahickon Ave, Suite 119, Philadelphia, PA 19144-4248 2005-08-11
1871124115 Khadija Ziyadeh Nurse Practitioner 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 2020-01-27
1578057576 Joana Ruby Callanta Bueno Nurse Practitioner 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 2018-06-22
1285141242 Veronica Rose Burke Dental Hygienist 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 2017-12-29
1629583497 Joi Elizabeth Goodwin Nurse Practitioner 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 2017-12-03
1710411749 Jennifer Schockemoehl Registered Nurse 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 2017-04-17
1659812964 Resources for Human Development Community/Behavioral Health 4700 Wissahickon Ave, Suite 126, Philadelphia, PA 19144-4248 2017-03-20
1457890113 Ritechoice Pharmacy Iv, LLC Pharmacy 4700 Wissahickon Ave, Building E, Suite 100, Philadelphia, PA 19144-4248 2017-02-14
1891142683 Kareemah Grossett Social Worker 4700 Wissahickon Ave, Ste 118, Philadelphia, PA 19144-4248 2016-05-21
1073986584 Maegen Kathryn Johnson Physical Therapist 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 2015-11-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174053714 Claudia Palacio Social Worker 85 East Logan St., Philadelphia, PA 19144 2017-06-15
1265963391 Sunil Senior Care LLC Custodial Care Facility 220 E Chelten Ave, Philadelphia, PA 19144 2017-03-21
1114460276 Richard Mitchell Social Worker 6327 Burbridge, Philadelphia, PA 19144 2016-11-22
1417399312 Resources for Human Development Community/Behavioral Health 5536 Pulaski Avenue, Philadelphia, PA 19144 2013-07-22
1457601494 Maikel Griages Podiatrist 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 2012-09-18
1982977179 Hota Edward Liu Dentist 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 2012-02-17
1366724585 Rasidah Campbell Pharmacist 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 2011-09-14
1326344755 Lakeva Hamilton-killion Case Management 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 2011-02-02
1083924682 Merakey Philadelphia Community/Behavioral Health 235 - 237 School House Lane, Philadelphia, PA 19144 2010-10-15
1235440785 Faisal Javed Internal Medicine 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 2010-06-30
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407454051 Violet Anderson Nurse Practitioner 2338 S Broad St, Philadelphia, PA 19145-4450 2020-10-15
1568078582 Lynell Wiggins Nurse Practitioner 1605 N 77th St, Philadelphia, PA 19151-2711 2020-09-16
1508479668 Frances Laura Israel Nurse Practitioner 1913 Lansing St, Philadelphia, PA 19111-3505 2020-08-28
1063024529 April Lee Fligor Nurse Practitioner 148 Osborn St, Philadelphia, PA 19128-3709 2020-08-17
1861010597 Brooke Brady Bell Nurse Practitioner 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 2020-07-09
1780208090 Kimberly Mae Behney Nurse Practitioner 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 2020-06-02
1811525819 Jacqueline Baker Nurse Practitioner 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 2020-03-27
1720612914 Zakiyyah Muhsin-fall Nurse Practitioner 499 N 5th St Ste A, Philadelphia, PA 19123-4005 2020-02-26
1386276152 Mercedes Harley Nurse Practitioner 4151 Robbins Ave, Philadelphia, PA 19135-3021 2020-02-10
1467083063 Tara Lynne Weaver Nurse Practitioner 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 2020-02-01
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Competitor

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City PHILADELPHIA
Zip Code 19144

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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