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Search › Pennsylvania › 363L00000X

Charles Pankow, CRNP

NPI 1174366884 · on the registry since 2024

Practice

Address
330 South Ninth Street
Philadelphia, PA 19107
Phone
(215) 662-3606
Fax
(215) 829-6606
Clinicians at this address
9

Additional practice sites

  • 13685 Doctors Way Ste 350, Fort Myers, FL
  • 3132 Royal Gardens Ave, Fort Myers, FL

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363LA2100X
Licence states on file
FL, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania