Venessa Lynn Medina
NPI #1063910651 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1063910651
- Entity Type
- Individual
- Name
- Venessa Lynn Medina
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Jan 29, 2018
- Last Updated
- Jan 30, 2018
Practice Location
- Address
- 3400 CIVIC CENTER BLVD
- Address 2
- 2 EAST PAVILION
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19104-5127
- Phone
- (215) 615-4949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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