Individual
ILYSSA CARSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1628 ELLSWORTH ST UNIT 1, PHILADELPHIA, PA 19146-3010
(215) 518-1932
Mailing address
1628 ELLSWORTH ST UNIT 1, PHILADELPHIA, PA 19146-3010
(215) 518-1932
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
SP029963
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP029963
PA
Other
Enumeration date
06/28/2024
Last updated
03/11/2026
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