Individual
ELIZABETH GRUGAN TUCCIARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
BROAD AND VINE STREET, PHILADELPHIA, PA 19102
(215) 762-1020
Mailing address
1724 SHELMIRE AVE, PHILADELPHIA, PA 19111-3427
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN588117
PA
363LF0000X
Family Nurse Practitioner
Primary
SP011215
PA
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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