Isabelle Campanaro, CRNP | |
111 S 11th St, Philadelphia, PA 19107-4824 | |
(215) 531-4700 | |
Not Available |
Full Name | Isabelle Campanaro |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 111 S 11th St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255054045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | SP026322 (Pennsylvania) | Primary |
Entity Name | Jefferson University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
Mailing Address | Practice Location Address |
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Isabelle Campanaro, CRNP 510 S 7th St Unit B, Philadelphia, PA 19147-1411 Ph: (215) 531-4700 | Isabelle Campanaro, CRNP 111 S 11th St, Philadelphia, PA 19107-4824 Ph: (215) 531-4700 |
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