Derusso, Peggy Anne
Derusso, Peggy Anne is an individual health care provider with primary practice located at 7505 Bustleton Ave , Philadelphia PA 19152-4136. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Derusso, Peggy Anne can be contacted via phone (215) 333-7505.Contact Information
Primary practice address
7505 Bustleton Ave
Philadelphia PA 19152-4136
Phone: (215) 333-7505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | SP021349 | Pennsylvania |
Profile Details
| NPI number | 1144860735 |
|---|---|
| LBN Legal business name | Derusso, Peggy Anne |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2020 |
| Last updated | Jan 10th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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