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Mary L Disilva, CRNP
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1124094016

Mary L Disilva is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Mary L Disilva practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Mary L Disilva is 1124094016 and holds a License No. SP007091 (Pennsylvania).

The current practice location address for Mary L Disilva is 3400 Spruce St, Philadelphia, PA and can be reached out via phone at 215-662-4000.

Location: 3400 Spruce St, Philadelphia, PA, 19104-4206
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Provider Profile Details
NPI Number
1124094016
Provider Name
Mary L Disilva
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
3400 Spruce St, Philadelphia, PA, 19104-4206
Phone Number
215-662-4000
Fax Number
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP05308 01 OH OHIO NP LICENSE
265946 01 OH RN LICENSE
institution
Provider Business Practice Location Address Details
Address
3400 Spruce St
City
State
Zip
19104-4206
Phone Number
215-662-4000
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Spruce St
City
State
Zip
19104-4206
Phone Number
215-662-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
SP008809 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
SP007091 (Pennsylvania)
Definition
Definition to come...
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