person
Alexandra Gantt Buonomo, CRNP
Pediatric Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1740994847

Alexandra Gantt Buonomo is a Pediatric Nurse Practitioner based in Philadelphia, PA and is specialized in Pediatrics. Alexandra Gantt Buonomo practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Alexandra Gantt Buonomo is 1740994847 and holds a License No. SP026846 (Pennsylvania).

The current practice location address for Alexandra Gantt Buonomo is 3500 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-590-1719 and via fax at 215-590-1771.

Location: 3500 Civic Center Blvd, Philadelphia, PA, 19104-4395
person
Provider Profile Details
NPI Number
1740994847
Provider Name
Alexandra Gantt Buonomo
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
3500 Civic Center Blvd, Philadelphia, PA, 19104-4395
Phone Number
215-590-1719
Fax Number
215-590-1771
Provider Enumeration Date
01/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3500 Civic Center Blvd
City
State
Zip
19104-4395
Phone Number
215-590-1719
Fax Number
215-590-1771
person
Provider Business Mailing Address Details
Address
3500 Civic Center Blvd
City
State
Zip
19104-4395
Phone Number
215-590-1719
Fax Number
215-590-1771
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
SP026846 (Pennsylvania)
Definition
Definition to come...
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