Individual
DANIEL DEGUISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
610 FEDERAL ST, PHILADELPHIA, PA 19147-4810
(914) 384-3143
Mailing address
833 CHESTNUT ST STE 640, PHILADELPHIA, PA 19107-4417
(215) 955-2050
(215) 503-0052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN685015
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP024434
PA
Other
Enumeration date
08/02/2021
Last updated
09/27/2022
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