person
Patricia Wallace Belancio, CRNP
Adult Health Nurse Practitioner in Flourtown, Pennsylvania
NPI 1700148459

Patricia Wallace Belancio is an Adult Health Nurse Practitioner based in Philadelphia, PA and is specialized in Adult Health. Patricia Wallace Belancio practices in Flourtown, PA and has the professional credentials of CRNP. The NPI Number for Patricia Wallace Belancio is 1700148459 and holds a License No. SP011629 (Pennsylvania).

The current practice location address for Patricia Wallace Belancio is 1722 Bethlehem Pike, Flourtown, PA and can be reached out via phone at 215-233-9700 and via fax at 215-233-9710.

Location: 1722 Bethlehem Pike, Flourtown, PA, 19182-0933
person
Provider Profile Details
NPI Number
1700148459
Provider Name
Patricia Wallace Belancio
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
1722 Bethlehem Pike, Flourtown, PA, 19182-0933
Phone Number
215-233-9700
Fax Number
215-233-9710
Provider Enumeration Date
06/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100727800 01 PA MEDICAID TPI GROUP
597586 01 PA MEDICARE TPI GROUP
CD4829 01 PA RAILROAD MEDICARE TPI GROUP
institution
Provider Business Practice Location Address Details
Address
1722 Bethlehem Pike
City
State
Zip
19031-1644
Phone Number
215-233-9700
Fax Number
215-233-9710
person
Provider Business Mailing Address Details
Address
1722 Bethlehem Pike
City
State
Zip
19031-1644
Phone Number
215-233-9700
Fax Number
215-233-9710
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
SP011629 (Pennsylvania)
Definition
Definition to come...
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