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Individual

KEISHA MELODY MASON-DIPROSPERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1437 DEKALB ST STE 201, NORRISTOWN, PA 19401-3440
(610) 272-5341
(610) 277-4134
Mailing address
1330 POWELL ST STE 308, NORRISTOWN, PA 19401-3350
(484) 622-7395
(484) 622-7399

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019447
PA

Other

Enumeration date
12/17/2018
Last updated
07/24/2019
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