Mrs Sophia Victoria Wasserwald, CRNP | |
800 Walnut St Fl 9, Philadelphia, PA 19107-5176 | |
(215) 316-5151 | |
Not Available |
Full Name | Mrs Sophia Victoria Wasserwald |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 800 Walnut St Fl 9, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376176370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | SP021057 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pennsylvania Hospital | Philadelphia, PA | Hospital |
Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
Penn Presbyterian Medical Center | Philadelphia, PA | Hospital |
Chester County Hospital | West chester, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Penn-medical Group | 6204730955 | 3051 |
Entity Name | University Of Penn-medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003923707 PECOS PAC ID: 6204730955 Enrollment ID: O20141216000111 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sophia Victoria Wasserwald, CRNP 800 Walnut St Fl 9, Philadelphia, PA 19107-5176 Ph: (215) 829-5027 | Mrs Sophia Victoria Wasserwald, CRNP 800 Walnut St Fl 9, Philadelphia, PA 19107-5176 Ph: (215) 316-5151 |
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