Individual provider · Type 1 NPI
Mary L. Disilva, CRNP
Family Nurse Practitioner · Philadelphia, PA
NPI number
1124094016
Active
Practice location
3400 Spruce St, 3 Silverstein
Philadelphia, PA 19104-4206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP007091 (PA) |
| Family Nurse Practitioner Primary | 363LF0000X | SP008809 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1124094016
Mary L. Disilva, CRNP's National Provider Identifier is 1124094016, issued on Feb 28, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on May 10, 2017.