SearchPennsylvania171000000X

Nafisa Outlaw

NPI 1760127773 · on the registry since 2022 · sole proprietor

Practice

Address
5804 N Marshall St
Philadelphia, PA 19120
Phone
(268) 368-3955

Registry record

Primary taxonomy
171000000X
171000000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-03

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