Individual
CRISTY YANG GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 316-5151
Mailing address
3515 MIDVALE AVE APT 307, PHILADELPHIA, PA 19129-1865
(419) 619-9718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP032633
PA
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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