Individual
MRS. JANICE M. CARSELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
1300 WOLF ST, 3RD FLOOR, PHILADELPHIA, PA 19148-2912
(215) 334-5315
(215) 334-5305
Mailing address
1300 WOLF ST, 3RD FLOOR, PHILADELPHIA, PA 19148-2912
(215) 334-5315
(215) 334-5305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP011315
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102888480
—
PA
Enumeration date
07/17/2011
Last updated
04/18/2014
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