Individual
CORINNA P SICOUTRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 2 DULLES, PHILADELPHIA, PA 19104-4206
(215) 662-7320
(215) 614-0375
Mailing address
3400 SPRUCE ST, 1 SILVERSTEIN, SUITE 110, PHILADELPHIA, PA 19104-4206
(215) 662-7320
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP006732Q
PA
Other
Enumeration date
10/27/2006
Last updated
01/08/2013
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