Individual
LISHA ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7407 STENTON AVE, PHILADELPHIA, PA 19150-3709
(267) 335-5264
(267) 335-5273
Mailing address
7407 STENTON AVE, PHILADELPHIA, PA 19150-3709
(267) 335-5264
(267) 335-5273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014645
PA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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