Individual
MRS. EMILY-CORINNE KACERGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.R.P.
Contact information
Practice address
833 CHESTNUT STREET, FIRST FLOOR, PHILADELPHIA, PA 19107-5127
(215) 955-9195
Mailing address
833 CHESTNUT ST, FIRST FLOOR, PHILADELPHIA, PA 19107-5127
(215) 955-9195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009325
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102884481
—
PA
Enumeration date
03/03/2008
Last updated
09/18/2014
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