Individual
DANIELLE PETTOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, WEST PAVILION 1ST FL, PHILADELPHIA, PA 19104-4306
(215) 615-5864
(215) 349-8432
Mailing address
3400 CIVIC CENTER BLVD, WEST PAVILION 1ST FL, PHILADELPHIA, PA 19104-4306
(215) 615-5864
(215) 349-8432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP025402
PA
Other
Enumeration date
03/09/2022
Last updated
07/19/2022
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