Individual provider · Type 1 NPI
Alexandra Gantt Buonomo, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1740994847
Active
Practice location
3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Fax (215) 590-1771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP026846 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1740994847
Alexandra Gantt Buonomo, CRNP's National Provider Identifier is 1740994847, issued on Jan 12, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 12, 2023.