Individual
EMILY E ALLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107-4824
(267) 582-8960
Mailing address
218 ARCH ST APT 709, PHILADELPHIA, PA 19106-4585
(703) 725-1024
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP026228
PA
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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