Most Relevant Information
Provider Data
| NPI Number: | 1003292293 |
| Provider Name: | DIANA PAOLA HARRISON CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP015136 |
Most Important Dates
| Enumeration Date: | 08/11/2015 |
| Last Updated: | 05/23/2016 |
Provider Practice Location
1412-22 FAIRMOUNT AVE
PHILADELPHIA
PA
19130
Practice Location Phone/Fax
| Phone: | 2155994851 |
| Fax: |
Provider Mailing Location
1412 22 FAIRMOUNT AVENUE
PHILADELPHIA
PA
191302908
Provider Mailing Phone/Fax
| Phone: | 2155994851 |
| Fax: | 2152324093 |