Provider Demographics
NPI:1124267240
Name:UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM
Entity type:Organization
Organization Name:UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SIMS-BEST
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:215-746-4110
Mailing Address - Street 1:3535 MARKET STREET
Mailing Address - Street 2:MEZZANINE LEVEL
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-3309
Mailing Address - Country:US
Mailing Address - Phone:214-746-4110
Mailing Address - Fax:
Practice Address - Street 1:3535 MARKET STREET
Practice Address - Street 2:MEZZANINE LEVEL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3309
Practice Address - Country:US
Practice Address - Phone:214-746-4110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009456261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care