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Individual

DR. ANN LINGUITI PRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
7930 MONTGOMERY AVE, ELKINS PARK, PA 19027-2644
(215) 765-6690
(215) 765-6694
Mailing address
7930 MONTGOMERY AVE, ELKINS PARK, PA 19027-2644
(215) 765-6690
(215) 765-6694

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP000292D
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012092530001
PA
01
0404561000
KEYSTONE HEALTH PLAN EAST
PA
01
16718
BRAVO
PA
01
30027027
KEYSTONE MERCY HEALTH PLAN
PA
01
5809469
AETNA
PA
01
582750
BLUE CROSS
PA
Enumeration date
08/17/2006
Last updated
08/10/2011
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