Individual provider · Type 1 NPI
Concetta Didomenico, PNP-BC
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1770742181
Active
Practice location
2236 S Carlisle St
Philadelphia, PA 19145-3925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | TP006069N (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1770742181
Concetta Didomenico, PNP-BC's National Provider Identifier is 1770742181, issued on Jun 2, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 2, 2008.