Individual
MRS. NICOLE M PECORARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGCNS-BC
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-3239
Mailing address
1819 W MOYAMENSING AVE, PHILADELPHIA, PA 19145-4717
(267) 901-7732
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
RN618215
PA
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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