Mary Angela Decena, CRNP
Nurse Practitioner, Adult Health in Philadelphia, PA. Individual provider (NPI-1).
NPI number1508043407
StatusActive
Last updated in NPPESJan 23, 2008
Details
- NPI
- 1508043407
- Entity type
- Individual (NPI-1)
- Name
- Mary Angela Decena
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2008
- Last updated
- Jan 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | SP009676 | PA | Yes |
Practice location
3400 Spruce St15 Penn Tower
Philadelphia, PA 19104-4206
Phone 215-662-3914
Mailing address
3400 Spruce St15 Penn Tower
Philadelphia, PA 19104-4206
Phone 215-662-3914
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