Provider Demographics
NPI:1659162212
Name:EDUCATION PLUS HEALTH
Entity type:Organization
Organization Name:EDUCATION PLUS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DORCM
Authorized Official - Prefix:
Authorized Official - First Name:KEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-324-5707
Mailing Address - Street 1:100 W OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-3927
Mailing Address - Country:US
Mailing Address - Phone:267-324-5707
Mailing Address - Fax:
Practice Address - Street 1:5070 PARKSIDE AVE STE 6200
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-4750
Practice Address - Country:US
Practice Address - Phone:267-324-5707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchoolGroup - Single Specialty