Individual
BIBI AYSHA SIDDHIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8211 ROSE PETAL DR, PHILADELPHIA, PA 19111-0915
(215) 535-0491
Mailing address
8211 ROSE PETAL DR, PHILADELPHIA, PA 19111-0915
(215) 535-0491
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R230819
MD
363LA2200X
Adult Health Nurse Practitioner
SP008312
PA
Other
Enumeration date
01/09/2008
Last updated
07/08/2019
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