Individual
MR. DAVID TANNEY YUSAVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
5501 OLD YORK RD # PALEY1, PHILADELPHIA, PA 19141-3018
(215) 456-7170
(215) 456-4923
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP014730
PA
Other
Enumeration date
01/30/2015
Last updated
01/28/2022
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