Individual provider · Type 1 NPI
Liezl Rasgo Didonato, CRNP
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1114343654
Active
Practice location
111 S 11th St, Suite 6270
Philadelphia, PA 19107-4824
Fax (215) 923-0835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP012329 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1114343654
Liezl Rasgo Didonato, CRNP's National Provider Identifier is 1114343654, issued on Mar 7, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 22, 2015.