Individual
MRS. LYNN MARIE FIOCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2301 S BROAD ST, SUITE 205, PHILADELPHIA, PA 19148-3542
(215) 551-3542
Mailing address
2301 S BROAD ST, SUITE 205, PHILADELPHIA, PA 19148-3542
(215) 551-8660
(215) 551-9247
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014546
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103270209
—
PA
Enumeration date
06/25/2014
Last updated
05/11/2017
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