Individual provider · Type 1 NPI

Olivia Carrasquillo, NP

Gerontology Nurse Practitioner · Philadelphia, PA

NPI number 1669827572 Active

Practice location

3998 Red Lion Road, Suite 240
Philadelphia, PA 19114

Fax (215) 632-6335

Mailing address

10 Presidential Blvd, Suite 124
Bala Cynwyd, PA 19004-1107

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XSP015904 (PA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1669827572

Olivia Carrasquillo, NP's National Provider Identifier is 1669827572, issued on Apr 28, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 28, 2016.