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GIANA INDELICATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3551 N BROAD ST, PHILADELPHIA, PA 19140-4160
(215) 430-4000
Mailing address
416 E MYRTLE AVE, TREVOSE, PA 19053-3338
(215) 801-0588

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP019307
PA

Other

Enumeration date
09/24/2018
Last updated
09/24/2018
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