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CREIGHTON CHARTER SCHOOL
NPI 1912307307
Nurse Practitioner - Pediatrics in Philadelphia, PA

Active since September 04, 2014
5401 TABOR AVE, PHILADELPHIA, PA 19120(215) 537-2531 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creighton Charter School NPPES

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

CREIGHTON CHARTER SCHOOL (NPI 1912307307) is a healthcare organization registered as a pediatrics in Philadelphia, Pennsylvania and active in the NPI registry since September 2014. The organization lists Julie Cousler-emig, Owner, as its authorized official.

NPPES Registry Identity

NPI1912307307
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameCREIGHTON CHARTER SCHOOL
Location Address5401 TABOR AVEPhiladelphia, PA 19120-2130
Mailing Address970 Sproul RdBryn Mawr, PA 19010-2026 · (215) 684-6286
Phone(215) 537-2531
Organization SubpartYesParent: Education Plus, Inc
Authorized OfficialJulie Cousler-emigOwner · (215) 687-6286
Enumeration DateSeptember 4, 2014
✔ NPI 1912307307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
5401 TABOR AVE, Philadelphia, PA 19120
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSAL CREIGHTON CHARTER SCHOOL
Local Education Agency (LEA)
5401 TABOR AVE
PHILADELPHIA, PA 19120
Philadelphia County (215) 537-2531

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 Creighton Charter School's NPI number?

The NPI number for Creighton Charter School is 1912307307. It was assigned to this organization in the NPPES registry on September 4, 2014.

Where is Creighton Charter School located?

Creighton Charter School is located at 5401 Tabor Ave, Philadelphia, PA 19120. The listed phone number is (215) 537-2531.

What is Creighton Charter School's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Creighton Charter School was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.