Provider Demographics
NPI:1730228719
Name:VISCUSO, DENISE H (CRNP)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:H
Last Name:VISCUSO
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:615 CHESTNUT STREET 14TH FLOOR
Mailing Address - Street 2:JEFFERSON UNIVERSITY PHYSICIANS
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106
Mailing Address - Country:US
Mailing Address - Phone:215-955-9628
Mailing Address - Fax:215-955-2420
Practice Address - Street 1:833 CHESTNUT STREET SUITE 701
Practice Address - Street 2:JEFFERSON INTERNAL MEDICINE ASSOCIATES
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:215-955-6180
Practice Address - Fax:215-955-6410
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PASP008825363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily