Individual provider · Type 1 NPI
Diana Fissidas, NP
Women's Health Nurse Practitioner · Philadelphia, PA
NPI number
1881423739
Active
Practice location
5501 Old York Rd
Philadelphia, PA 19141-3018
Mailing address
101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | SP030017 (PA) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1881423739
Diana Fissidas, NP's National Provider Identifier is 1881423739, issued on Jul 30, 2024. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 21, 2024.