Doctor Name: | MISS LINDA R DALO |
NPI Number: | 1003213307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP006275C |
Business Practice Address: | 2100 Keystone Ave Suite 200 Drexel Hill, PA - 190261129 |
Business Phone Number: | 6102590240 |
Business Fax Number: | 6102590606 |
Mailing Address: | 207 N Broad St, 3rd Floor PHILADELPHIA |
State: | PA |
Postal Code: | 191071500 |
Phone Number: | 2154635333 |
Fax Number: | |
NPI Enumeration Date: | 12/02/2014 |
NPI Last Update Date: | 12/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP006275C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |