(800) 868-1923

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