Individual
VISHNU ALBERT NANCOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
51 N 39TH ST, PRESBYTERIAN MEDICAL CENTER, PHILADELPHIA, PA 19104-2640
(215) 662-6963
Mailing address
3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
(215) 662-2286
(215) 615-0500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP008670
PA
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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