Individual
ELIZABETH ANNE MOSTOVYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-6000
Mailing address
904 OBERLIN AVE, DELRAN, NJ 08075-1309
(215) 534-6947
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012330
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP012330
LICENSE
PA
Enumeration date
10/18/2012
Last updated
10/18/2012
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