Lateefa Antrom (NPI# 1487017125, PAC ID# 5698074375) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1487017125 |
| PAC ID by PECOS | 5698074375 |
| Professional Enrollment ID | I20160502000977 |
| Full Name | Lateefa Antrom |
| Organization Legal Name | TAKE CARE HEALTH PENNSYLVANIA PC |
| Address |
4098 Edgmont Ave Brookhaven PA 19015-2211 |
| Phone Number | 2177092364 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7911902002 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4098 Edgmont Ave, Brookhaven, PA 19015-2211 | 2177092364 | TAKE CARE HEALTH PENNSYLVANIA PC |
| 7001 Frankford Ave, Suite 7027, Philadelphia, PA 19135-1605 | 2177092364 | TAKE CARE HEALTH PENNSYLVANIA PC |
| Organization Legal Name | TAKE CARE HEALTH PENNSYLVANIA PC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn K Spillane | Nurse Practitioner | Take Care Health Pennsylvania PC | 699 W Germantown Pike, Norristown, PA 19403-4233 |
| Ellen C Deluca | Nurse Practitioner | Take Care Health Pennsylvania PC | 710 N Wales Rd, North Wales, PA 19454-1725 |
| Theresa J Davies | Nurse Practitioner | Take Care Health Pennsylvania PC | 10 York Rd, Warminster, PA 18974-4502 |
| Rita C Stock | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Anna Grasela | Nurse Practitioner | Take Care Health Pennsylvania PC | 10 York Rd, Warminster, PA 18974-4502 |
| Mewded S Mulugeta | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Irina Uritsky | Nurse Practitioner | Take Care Health Pennsylvania PC | 10 York Rd, Warminster, PA 18974-4502 |
| Kelly A Wesolowski | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Michelle D Overton | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Kristen M Ruina | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Street Address |
4098 EDGMONT AVE |
| City | BROOKHAVEN |
| State | PA |
| Zip | 19015-2211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita C Stock | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Mewded S Mulugeta | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Kelly A Wesolowski | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Michelle D Overton | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Kristen M Ruina | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Melissa J Tucker | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Catherine M Mcelroy | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Sieda Barrow | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Sarah A Walker | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Jennifer C Seguine | Nurse Practitioner | Take Care Health Pennsylvania PC | 4098 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah A Clarke | Family Medicine | Medexpress Urgent Care PC - Pennsylvania | 4808 Edgmont Ave, Medexpress Urgent Care Brookhaven Edgmont Ave, Brookhaven, PA 19015-1400 |
| Rex K Kessler | Endocrinology | Riddle Endocrinology and Metabolism Associates, PC | 8 W Brookhaven Rd, Brookhaven, PA 19015-1629 |
| Craig Andrew Cassey | Optometry | Craig A. Cassey O D P C | 4590 Edgemont Ave, Brookhaven, PA 19015-1728 |
| Gary E Oliver | Optometry | Craig A. Cassey O D P C | 4590 Edgemont Ave, Brookhaven, PA 19015-1728 |
| Mui T Ly | Optometry | Craig A. Cassey O D P C | 4590 Edgemont Ave, Brookhaven, PA 19015-1728 |
| Caitlyn Cassey | Optometry | Craig A. Cassey O D P C | 4590 Edgemont Ave, Brookhaven, PA 19015-1728 |
| Robert F Crowell | General Practice | Robert F. Crowell, D.o., Steven J. Fisher, D.o., P.C. | 4000 Edgmont Ave, Brookhaven, PA 19015-2211 |
| Steven J Fisher | Family Medicine | Robert F. Crowell, D.o., Steven J. Fisher, D.o., P.C. | 4000 Edgmont Ave, Brookhaven, PA 19015-2211 |
| David L Berman | Podiatry | 4000 Edgmont Ave, Brookhaven, PA 19015-2211 | |
| Jacquelin Dejesse | Optometry | 4106 Edgmont Ave, Brookhaven, PA 19015-2314 | |
| Find all physicians in zip 19015 | |||
| City | BROOKHAVEN |
| Zip Code | 19015 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BROOKHAVEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lateefa Antrom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.