Individual
DONNA DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
548 KINGS RD, YARDLEY, PA 19067-4647
(215) 499-1477
Mailing address
548 KINGS RD, YARDLEY, PA 19067-4647
(215) 499-1477
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN215153L
PA
363LF0000X
Family Nurse Practitioner
26NN09176000
NJ
363LF0000X
Family Nurse Practitioner
UP005471B
PA
Other
Enumeration date
06/28/2006
Last updated
05/29/2015
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