Individual
MS. CHRISTIE LEE DIVETERANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(484) 354-4018
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(484) 354-4018
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP023121
PA
Other
Enumeration date
02/03/2021
Last updated
11/18/2024
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