CHARLES PANKOW JR., CRNP

Nurse Practitioner

Active Individual
NPI: 1174366884

Practice Address

330 SOUTH NINTH STREET
Philadelphia, PA 19107

Phone: (215) 662-3606

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes SP034276 (PA)
Nurse Practitioner - Acute Care 363LA2100X No APRN11033483 (FL)

Frequently Asked Questions

NPI 1174366884 is the National Provider Identifier for CHARLES PANKOW JR., CRNP, a Nurse Practitioner provider located in Philadelphia, PA. This NPI was enumerated on June 18, 2024.
CHARLES PANKOW JR., CRNP practices at 330 SOUTH NINTH STREET, Philadelphia, PA 19107.

Quick Facts

NPI
1174366884
Type
Individual
Enumerated
Jun 18, 2024
Last Updated
Feb 6, 2026

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