Individual
ILONA OSADZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, CRNP
Contact information
Practice address
2900 COTTMAN AVE, PHILADELPHIA, PA 19149-1437
(215) 660-9330
(215) 660-9336
Mailing address
882 HENRY AVE, LANGHORNE, PA 19047-2600
(347) 893-2207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP028448
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/18/2023
Last updated
07/10/2024
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