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Mrs. Liezl Rasgo Didonato, CRNP
Adult Health Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1114343654

Liezl Rasgo Didonato is an Adult Health Nurse Practitioner based in Philadelphia, PA and is specialized in Adult Health. Liezl Rasgo Didonato practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Liezl Rasgo Didonato is 1114343654 and holds a License No. SP012329 (Pennsylvania).

The current practice location address for Liezl Rasgo Didonato is 111 S 11Th St, Philadelphia, PA and can be reached out via phone at 215-955-4912 and via fax at 215-923-0835.

Location: 111 S 11Th St, Philadelphia, PA, 19107-4824
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Provider Profile Details
NPI Number
1114343654
Provider Name
Liezl Rasgo Didonato
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
111 S 11Th St, Philadelphia, PA, 19107-4824
Phone Number
215-955-4912
Fax Number
215-923-0835
Provider Enumeration Date
03/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102925771 05 PA
institution
Provider Business Practice Location Address Details
Address
111 S 11Th St
City
State
Zip
19107-4824
Phone Number
215-955-4912
Fax Number
215-923-0835
person
Provider Business Mailing Address Details
Address
111 S 11Th St
City
State
Zip
19107-4824
Phone Number
215-955-4912
Fax Number
215-923-0835
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
SP012329 (Pennsylvania)
Definition
Definition to come...
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