Doctor Name: | MRS. DIANE KOSER-SELTZER |
NPI Number: | 1295076685 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | TPOOO336C |
Business Practice Address: | 2901 Dutton Mill Rd Ste 110 Aston, PA - 190142850 |
Business Phone Number: | 6108762300 |
Business Fax Number: | |
Mailing Address: | Po Box 1897, BOOTHWYN |
State: | PA |
Postal Code: | 190617897 |
Phone Number: | 6108762300 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2013 |
NPI Last Update Date: | 07/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | TPOOO336C |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |