Organization
PRIMECARE PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESSY ALOZIE (CRNP)
(484) 513-3935
Entity
Organization
Contact information
Practice address
122 W LANCASTER AVE, STE 01, SHILLINGTON, PA 19607-1956
(484) 513-3935
Mailing address
122 W LANCASTER AVE, STE 01, SHILLINGTON, PA 19607-1956
(484) 513-3935
(484) 513-3931
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103797513
—
PA
Enumeration date
11/21/2023
Last updated
12/19/2023
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