Individual
DEENA M MASCIOCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
606 CORPORATE DR W, LANGHORNE, PA 19047-8013
(267) 971-8949
Mailing address
874 W MAPLE DR, SOUTHAMPTON, PA 18966-4210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN578232
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP012107
PA
Other
Enumeration date
07/26/2012
Last updated
01/14/2018
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