Individual
MRS. MARISHA DICRECCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, PMHNP-BC
Contact information
Practice address
3535 MARKET ST, PHILADELPHIA, PA 19104-3309
(610) 212-1322
Mailing address
3535 MARKET ST, PHILADELPHIA, PA 19104-3309
(610) 212-1322
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP030977
PA
Other
Enumeration date
10/18/2024
Last updated
03/27/2025
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