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Individual

ANNA PSILLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
5501 OLD YORK RD, KORMAN BUILDING-SUITE 202, PHILADELPHIA, PA 19141-3018
(215) 254-2612
(215) 456-7512
Mailing address
5501 OLD YORK RD, KLEIN BLDG-331, PHILADELPHIA, PA 19141-3018
(215) 456-8608
(215) 456-7512

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP014068
PA

Other

Enumeration date
01/15/2015
Last updated
06/15/2015
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