Individual
MRS. BEVERLY M. VISCUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
1233 LOCUST ST STE 400, PHILADELPHIA, PA 19107-5459
(215) 545-8188
Mailing address
4541 E YATES RD, BENSALEM, PA 19020-4944
(215) 245-0156
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
TP000670D
PA
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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