Individual
MS. TAMMY L DIBRICIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 748-9872
(215) 748-9869
Mailing address
1 W ELM ST, 2ND FLOOR, CONSHOHOCKEN, PA 19428-2007
(610) 748-9872
(215) 748-9869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP006534C
PA
Other
Enumeration date
07/07/2006
Last updated
12/13/2016
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