Individual
ELIZABETH ANNE GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8730
(215) 243-4686
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8730
(215) 243-4686
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP018957
PA
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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