Individual
CAROL L TANZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
176 S NEW MIDDLETOWN RD, MOB, 1ST FLOOR, MEDIA, PA 19063-5255
(610) 627-3690
(610) 627-3684
Mailing address
176 S NEW MIDDLETOWN RD, MEDIA, PA 19063-5255
(610) 627-3690
(610) 627-3684
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN505951L
PA
363LF0000X
Family Nurse Practitioner
Primary
SP010610
PA
Other
Enumeration date
12/01/2009
Last updated
10/31/2014
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