Search › Pennsylvania › 363LF0000X
Kurniawan Teja, MSN, CRNP, FNP-BC
NPI 1427759273 · on the registry since 2023 · sole proprietor
Practice
- Address
- 321 W Girard Ave
Philadelphia, PA 19123 - Phone
- (213) 685-3800
- Organisation at this address
- City Of Philadelphia
Centralized Comprehensive Human Services, Inc.
Philadelphia Department Of Public Health Center Pharmacy #6Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-13
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