Individual
VICTORIA VARDILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8000
Mailing address
1519 EARL ST, PHILADELPHIA, PA 19125-2603
(845) 642-1641
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
026586
PA
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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