Individual provider · Type 1 NPI
Denise Gruccio, CRNP
Pediatric Nurse Practitioner · Philadlephia, PA
NPI number
1740491836
Active
Practice location
34th Street And Civic Cener Boulevard
Philadlephia, PA 19104
Mailing address
410 Warwick Rd
Haddonfield, NJ 08033-3830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | VP001708-D (PA) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1740491836
Denise Gruccio, CRNP's National Provider Identifier is 1740491836, issued on May 24, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadlephia, PA. The record was last updated on Jul 8, 2007.