Individual
MRS. ALICIA ROSE HAEGELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
MEDICAL ARTS BUILDING, 3801 MARKET STREET, SUITE 111, PHILADELPHIA, PA 19104-3153
(215) 662-9563
(215) 243-4604
Mailing address
MEDICAL ARTS BUILDING, 3801 MARKET STREET, SUITE 111, PHILADELPHIA, PA 19104-3153
(215) 662-9563
(215) 243-4604
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP010873
PA
363LF0000X
Family Nurse Practitioner
Primary
SP014816
PA
Other
Enumeration date
12/01/2011
Last updated
11/06/2020
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