Individual
MELISSA O DE LA CERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 4 DULLES BUILDING, PHILADELPHIA, PA 19104-4206
(215) 410-0319
Mailing address
3400 SPRUCE ST, 4 DULLES BUILDING, PHILADELPHIA, PA 19104-4206
(215) 410-0319
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95011201
CA
363LA2100X
Acute Care Nurse Practitioner
SP011210
PA
Other
Enumeration date
02/16/2011
Last updated
10/30/2019
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