Individual
MS. CYNTHIA DEASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-3880
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ01119000
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012374
PA
Other
Enumeration date
01/15/2013
Last updated
10/04/2021
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