Individual
MISS ASHLEY OLIVIA SUFALKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2217 BRISTOL PIKE, BENSALEM, PA 19020-5720
(215) 638-0555
Mailing address
16 JARRETT CT, PRINCETON JUNCTION, NJ 08550-2214
(609) 915-9510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
658489-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
SP013943
PA
Other
Enumeration date
07/23/2013
Last updated
07/10/2014
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