Individual provider · Type 1 NPI
Joan Hanisco, CRNP
Family Nurse Practitioner · Philadelphia, PA
NPI number
1922532787
Active
Practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Fax (215) 707-9697
Other practice locations
- 735 Fitzwatertown Rd Ste 1, Willow Grove, PA 19090-1338 · (215) 657-2012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP017208 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1922532787
Joan Hanisco, CRNP's National Provider Identifier is 1922532787, issued on Apr 18, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 20, 2022.