NPI 1013142835 · live from the CMS NPI Registry
Certified Perioperative Services LLC
Nurse Practitioner in Philadelphia, PA. National Provider Identifier 1013142835, active.
NPI record
| NPI | 1013142835 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 2100 Cypress St, Philadelphia, PA 19103 |
| Practice phone | 215-605-1748 |
| Mailing address | 211 South St, # 230, Philadelphia, PA 19147 |
| Enumerated | May 22, 2009 |
| Last updated | May 22, 2009 |
| Authorized official | Vesna Hess, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Medical-Surgical | 163WM0705X | 00000 (PA) |
| Registered Nurse, Registered Nurse First Assistant | 163WR0006X | 00000 (PA) |
| Nurse Practitioner primary | 363L00000X | 0000000 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.