Individual
LOUISA MICELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4508 CHESTNUT ST, PHILADELPHIA, PA 19139-3608
(610) 787-9417
Mailing address
4508 CHESTNUT ST, SUITE 500, PHILADELPHIA, PA 19139-3608
(215) 573-3632
(215) 573-6848
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP014923
PA
Other
Enumeration date
04/22/2015
Last updated
12/21/2021
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