Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creighton Charter School

Organization Pediatric Nurse Practitioner · NPI 1912307307

Creighton Charter School is a Pediatric Nurse Practitioner in Philadelphia, Pennsylvania. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

5401 Tabor Ave
Philadelphia, PA 19120-2130
Phone: (215) 537-2531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1912307307
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEducation Plus, Inc
Authorized official Julie Cousler-Emig — Owner · (215) 687-6286
NPI enumeratedSeptember 4, 2014
Last updated in NPPESSeptember 4, 2014
Mailing address970 Sproul Rd, Bryn Mawr, PA 19010-2026

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