Individual provider · Type 1 NPI
Alyssa Tani, CRNP
Critical Care Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1720744626
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
1421 Spruce St Apt 3B
Philadelphia, PA 19102-4564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | SP024829 (PA) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1720744626
Alyssa Tani, CRNP's National Provider Identifier is 1720744626, issued on Nov 15, 2021. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 15, 2021.