Alicea, Myrna I

Alicea, Myrna I is an individual health care provider with primary practice located at 1203 Langhorne Newtown Rd Suite 320, Langhorne PA 19047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alicea, Myrna I can be contacted via phone (215) 750-7818.

Contact Information

Primary practice address
1203 Langhorne Newtown Rd Suite 320 Langhorne PA 19047
Phone: (215) 750-7818
Fax: (215) 752-0436
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP009402 Pennsylvania

Profile Details

NPI number 1619099397
LBN Legal business name Alicea, Myrna I
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Aug 10th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619099397 NPPES
Pennsylvania MEDICAID 1025050510002
Pennsylvania Other 9004062
Pennsylvania Other 7675993
Pennsylvania Other P01417918
Pennsylvania Other SP009402
Pennsylvania Other 30221870
Pennsylvania Other 3114453
Pennsylvania Other RN526618L

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