Individual
JOANNA WISHNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 RIDGE AVE, PHILADELPHIA, PA 19128-2459
(215) 333-4300
Mailing address
1632 PINE ST, PHILADELPHIA, PA 19103-6711
(215) 735-7992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015593
PA
364SF0001X
Family Health Clinical Nurse Specialist
SP015593
PA
364SP0200X
Pediatric Clinical Nurse Specialist
SP015593
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN616816
REGISTERED NURSE
PA
01
—
SP015593
CERTIFIED REGISTERED NURSE PRACTITIONER
PA
Enumeration date
01/12/2016
Last updated
02/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us