Individual
MRS. DANA LISKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3941 COMMERCE AVE, WILLOW GROVE, PA 19090
(215) 481-4000
Mailing address
2500 MARYLAND RD, SUITE 400, WILLOW GROVE, PA 19090-1216
(215) 481-4143
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
—
—
363L00000X
Nurse Practitioner
Primary
SP013816
PA
363LA2100X
Acute Care Nurse Practitioner
SP013816
PA
363LA2200X
Adult Health Nurse Practitioner
SP013817
PA
Other
Enumeration date
11/06/2014
Last updated
08/16/2018
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