ALYSIA J SHEAFFER


Address: 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658
Phone: 2158258220

ALYSIA J SHEAFFER (NPI# 1912299389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912299389
Entity Type Individual
Full Name ALYSIA J SHEAFFER
Other Name ALYSIA J BRUNO
Credential CRNP
Practice Address 1200 Callowhill St
Suite 101
Philadelphia
PA 19123-3658
Mailing Address 1500 Market Street
Lm 500 West Tower
Philadelphia
PA 19120-2100
Practice Telephone 2158258220
Practice Fax Number 2158258254
Mailing Telephone 2159852595
Enumeration Date 2011-05-04
Last Update Date 2016-07-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP011268 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 CALLOWHILL ST
SUITE 101
City PHILADELPHIA
State PA
Zip Code 19123-3658

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1003842188 Joan E La Joie Nurse Practitioner 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 2006-06-23
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1922659309 Mary Kremer Counselor 1200 Callowhill St, Philadelphia, PA 19123-3658 2019-09-26
1689236739 Jason Williams Peer Specialist 1200 Callowhill St, Philadelphia, PA 19123-3658 2019-06-28
1023670171 Virginia Vitella Peer Specialist 1200 Callowhill St, Philadelphia, PA 19123-3658 2019-06-28
1225690373 Jose Deleon Deleon Peer Specialist 1200 Callowhill St, Philadelphia, PA 19123-3658 2019-06-28
1225595168 Paul Burkhart Counselor 1200 Callowhill St, Philadelphia, PA 19123-3658 2019-02-27
1659836757 Adam Fussaro Counselor 1200 Callowhill St, Philadelphia, PA 19123-3658 2019-02-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City PHILADELPHIA
Zip Code 19123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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