Individual
KEVIN DELEON PARAISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
(201) 306-5945
Mailing address
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
(201) 306-5945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR15477400
NJ
363LA2100X
Acute Care Nurse Practitioner
26NJ01182300
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
SP026481
PA
Other
Enumeration date
07/07/2021
Last updated
05/14/2024
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