Individual
ALEXANDRA VALENTINA DIVENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3580 INDIAN QUEEN LN, PHILADELPHIA, PA 19129-1540
(215) 774-1306
Mailing address
3580 INDIAN QUEEN LN, PHILADELPHIA, PA 19129-1540
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP029347
PA
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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