Individual
MS. PRISCILLA BOSACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
216 N BROAD ST, FEINSTEIN BUILDING, 2ND FLOOR, PHILADELPHIA, PA 19102-1121
(215) 762-4765
(215) 762-1940
Mailing address
533 DARLINGTON RD, MEDIA, PA 19063-5603
(610) 358-1459
(215) 762-1940
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
TP006201C
PA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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