Individual
ALLYSON THERESA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR, PHILADELPHIA, PA 19104-4306
(215) 615-4949
(215) 615-0829
Mailing address
3400 SPRUCE ST, 9 FOUNDERS, PHILADELPHIA, PA 19104-4238
(215) 615-4949
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP008103
PA
Other
Enumeration date
09/16/2006
Last updated
12/01/2022
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