Lazar, Nellie Riendeau
Lazar, Nellie Riendeau is an individual health care provider with primary practice located at 3535 Market St. Ste. 1371 Chop Adolescent Initiative, Philadelphia PA 19104-5021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Lazar, Nellie Riendeau can be contacted via phone (215) 590-3626.Contact Information
Primary practice address
3535 Market St. Ste. 1371 Chop Adolescent Initiative
Philadelphia PA 19104-5021
Phone: (215) 590-3626
Fax: (215) 590-0426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | SP008400 | Pennsylvania |
Profile Details
| NPI number | 1891778239 |
|---|---|
| LBN Legal business name | Lazar, Nellie Riendeau |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Dec 17th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891778239 | NPPES |
| Pennsylvania | MEDICAID | 1024965980001 | |
| Pennsylvania | Other | 1891778239 |
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