Individual
MRS. LEAH FESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5000 FRANKFORD AVE, PHILADELPHIA, PA 19124-2620
(215) 831-2218
Mailing address
5000 FRANKFORD AVE, PHILADELPHIA, PA 19124-2620
(215) 831-2218
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN593922
PA
363LF0000X
Family Nurse Practitioner
Primary
SP020888
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPPA039048
PENNSYLVANIA STATE BOARD OF NURSING
PA
01
—
RN593922
RN LICENSE
PA
01
—
SP020888
CRNP LICENSE
PA
Enumeration date
10/01/2019
Last updated
11/03/2023
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