Alice May Isidro, PA-C
Physician Assistant, Surgical in Wynnewood, PA. Individual provider (NPI-1).
NPI number1720167034
StatusActive
Last updated in NPPESOct 19, 2015
Details
- NPI
- 1720167034
- Entity type
- Individual (NPI-1)
- Name
- Alice May Isidro
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2006
- Last updated
- Oct 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | MA002647L | PA | Yes |
Other names
- Alice May Bernabe Isidro (Other Name)
Practice location
100 E Lancaster AveJd Lankenau Pavillion, Mezzanine
Wynnewood, PA 19096-3450
Phone 484-476-1000 · Fax 484-476-9000
Mailing address
100 E Lancaster AveJd Lankenau Pavillion, Mezzanine
Wynnewood, PA 19096-3450
Phone 484-476-1000 · Fax 484-476-9000
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