Individual
MRS. DEANNA ANTOINETTE CAVALLARO FATZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
826 N BROAD ST, LANSDALE, PA 19446-2321
(215) 855-1054
Mailing address
826 N BROAD ST, LANSDALE, PA 19446-2321
(215) 855-1054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP028584
PA
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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