person
Mrs. Peggy Anne Derusso, CRNP
Primary Care Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1144860735

Peggy Anne Derusso is a Primary Care Nurse Practitioner based in Philadelphia, PA and is specialized in Primary Care. Peggy Anne Derusso practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Peggy Anne Derusso is 1144860735 and holds a License No. SP021349 (Pennsylvania).

The current practice location address for Peggy Anne Derusso is 7505 Bustleton Ave, Philadelphia, PA and can be reached out via phone at 215-333-7505.

Location: 7505 Bustleton Ave, Philadelphia, PA, 19152-4136
person
Provider Profile Details
NPI Number
1144860735
Provider Name
Peggy Anne Derusso
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
7505 Bustleton Ave, Philadelphia, PA, 19152-4136
Phone Number
215-333-7505
Fax Number
Provider Enumeration Date
01/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7505 Bustleton Ave
City
State
Zip
19152-4136
Phone Number
215-333-7505
Fax Number
person
Provider Business Mailing Address Details
Address
7505 Bustleton Ave
City
State
Zip
19152-4136
Phone Number
215-333-7505
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
SP021349 (Pennsylvania)
Definition
Definition to come...
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