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

Individual provider Military Health Care Provider · NPI 1760127773

Nafisa Sade Outlaw is a Military Health Care Provider in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2022
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Practice location Address checks out

5804 N Marshall St
Philadelphia, PA 19120-1315
Phone: (268) 368-3955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence 739258 (PA)

Record details

NPI number1760127773
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2022
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022

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