Individual
LAURA DICIANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
925 CHESTNUT ST FL 4, PHILADELPHIA, PA 19107-4207
(215) 955-4226
Mailing address
1561 HULSEMAN ST, PHILADELPHIA, PA 19145-5820
(267) 228-4486
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ14893300
NJ
363LA2100X
Acute Care Nurse Practitioner
LP-0010691
DE
363LA2100X
Acute Care Nurse Practitioner
Primary
SP025072
PA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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