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NAFISA SADE OUTLAW
NPI 1760127773
Military Health Care Provider in Philadelphia, PA

Active since May 03, 2022
5804 N MARSHALL ST, PHILADELPHIA, PA 19120(268) 368-3955 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nafisa Sade Outlaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAFISA SADE OUTLAW (NPI 1760127773) is an individual military health care provider provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (739258) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1760127773
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameNAFISA SADE OUTLAW
Location Address5804 N MARSHALL STPhiladelphia, PA 19120-1315
Mailing Address5804 N Marshall StPhiladelphia, PA 19120-1315 · (268) 368-3955
Phone(268) 368-3955
Sole ProprietorYes
Enumeration DateMay 3, 2022
NPPES CertifiedMay 3, 2022
✔ NPI 1760127773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in PA · 739258
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
5804 N MARSHALL ST, Philadelphia, PA 19120
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Other Identifiers 2

Medicaid822689610PA
Medicaid0813PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nafisa Outlaw's NPI number?

The NPI number for Nafisa Outlaw is 1760127773. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Where is Nafisa Outlaw located?

Nafisa Outlaw practices at 5804 N Marshall St, Philadelphia, PA 19120. The listed phone number is (268) 368-3955.

What is Nafisa Outlaw's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Nafisa Outlaw was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.