Individual
ELIZABETH M FACCIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
142 WALLACE AVE STE 201, DOWNINGTOWN, PA 19335
(610) 269-7656
(610) 594-2625
Mailing address
412 CREAMERY WAY, SUITE 400, EXTON, PA 19341-2551
(610) 594-7590
(610) 594-7597
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007316
PA
Other
Enumeration date
03/31/2006
Last updated
05/24/2018
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