Individual provider · Type 1 NPI

Tiana Bodison, CRNP

Ambulatory Women's Health Care Registered Nurse · Philadelphia, PA

NPI number 1174215347 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Women's Health Care Registered Nurse Primary 163WW0101XSP026858 (PA)

Ambulatory Women's Health Care Registered Nurse: Definition to come...

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About NPI 1174215347

Tiana Bodison, CRNP's National Provider Identifier is 1174215347, issued on May 24, 2023. The primary taxonomy on file is Ambulatory Women's Health Care Registered Nurse (163WW0101X), and the practice location is in Philadelphia, PA. The record was last updated on May 24, 2023.