Most Relevant Information
Provider Data
| NPI Number: | 1003520628 |
| Provider Name: | ALLYSON ANNE PETOSA CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP026731 |
Most Important Dates
| Enumeration Date: | 01/09/2023 |
| Last Updated: | 01/09/2023 |
Provider Practice Location
401 W ALLEGHENY AVE
PHILADELPHIA
PA
191333644
Practice Location Phone/Fax
| Phone: | 2152912500 |
| Fax: |
Provider Mailing Location
2801 ASPEN CIR
BLUE BELL
PA
194223402
Provider Mailing Phone/Fax
| Phone: | 3152002253 |
| Fax: |