Charles Pankow Jr.
CRNP | Nurse Practitioner
330 South Ninth Street, Philadelphia
Pennsylvania, 19107-6103
215-662-3606
Charles Pankow Jr. is a Philadelphia, Pennsylvania based nurse practitioner who is specialized as Nurse Practitioner. Active license number of Charles Pankow Jr. is SP034276 for Nurse Practitioner in Pennsylvania. His current practice location is 330 South Ninth Street, Philadelphia. Patients can reach him at 215-662-3606 or can fax him at 215-829-6606. Charles Pankow Jr. is CRNP with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1174366884.
Charles Pankow Jr. has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Charles Pankow Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Charles Pankow Jr. |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | CRNP |
| Practice Address: | 330 South Ninth Street, Philadelphia,
Pennsylvania, 19107-6103 |
| Phone: | 215-662-3606 |
| Fax: | 215-829-6606 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1174366884 |
| NPI Enumeration Date: | 18 Jun, 2024 |
| NPI Last Update On: | 06 Feb, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Pankow Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| SP034276 | Nurse Practitioner | Pennsylvania | Primary | |
| APRN11033483 | Acute Care NP | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles Pankow Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 122896600 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Charles Pankow Jr.
330 South Ninth Street,
Philadelphia, Pennsylvania |
| Zip: | 19107-6103 |
| Phone Number: | 215-662-3606 |
| Fax Number: | 215-829-6606 |
Patients can reach Charles Pankow Jr. at
330 South Ninth Street, Philadelphia, Pennsylvania or can
call to book an appointment on 215-662-3606.
Comments/ Reviews:
Patients can read all the reviews posted for Charles Pankow Jr. below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Charles Pankow Jr.. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.