Organization
NP ADVANCED WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUCA R CELLA CRNP ANP-BC WOCN (OWNER)
(215) 336-8617
Entity
Organization
Contact information
Practice address
1635 CROATAN PL, PHILA, PA 19145-5403
(215) 336-8617
(215) 334-5983
Mailing address
1635 CROATAN PL, PHILA, PA 19145-5403
(215) 336-8617
(215) 334-5983
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP011027
PA
Other
Enumeration date
02/25/2012
Last updated
05/31/2012
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