Individual provider · Type 1 NPI
Patricia M. Bomalaski, CRNP
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1215023114
Active
Practice location
51 N 39th St, Mab, Suite 102
Philadelphia, PA 19104-2640
Fax (215) 243-3297
Mailing address
51 N. 39th Street, Mab, Suite 102
Philadelphia, PA 19104-2640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP005247C (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1215023114
Patricia M. Bomalaski, CRNP's National Provider Identifier is 1215023114, issued on Oct 5, 2006. 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 Jan 27, 2014.