AISHA AYANNA ADDISON
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1831497601- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2418 E YORK ST, PHILADELPHIA, PA, 191253006
- Phone
- (302) 273-3926
- Fax
- (609) 604-1325
Specialties & Taxonomies
Nurse Practitioner, Family
License: NJ #26NJ008494
Nurse Practitioner, Family
License: PA #SP011279
Nurse Practitioner, Family
License: DE #LG0001115
Nurse Practitioner, Psych/Mental Health
License: PA #SP026645
Nurse Practitioner, Occupational Health
License: DE #LG0001115
Nurse Practitioner, Psych/Mental Health
Primary License: NJ #26NJ008494