Individual
DIANA PAOLA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1412-22 FAIRMOUNT AVE, PHILADELPHIA, PA 19130
(215) 599-4851
Mailing address
1412 22 FAIRMOUNT AVENUE, PHILADELPHIA, PA 19130-2908
(215) 599-4851
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015136
PA
Other
Enumeration date
08/11/2015
Last updated
05/23/2016
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