MEDICARE: ALICIA LOPER CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	SP019395	PA

General Provider Information

NPI Number	:	1144795782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA LOPER CRNP

Provider Business Mailing Address
First Line	:	3509 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-4105
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9331 OLD BUSTLETON AVE STE 100A
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-4204
Country	:	US
Telephone Number	:	215-671-0653
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2018
Last Update Date	:	06/25/2026

Similar Medicare Providers

1285673319 — MITCHELL JASON MARDER D.O.
Practice Location Address:

9331 OLD BUSTLETON AVE , SUITE 101
PHILADELPHIA, PA
19115-4204

Practice Phone: 215-673-1520
Practice Fax: 215-673-1980

1790725703 — RAQUEL INNISS MD
Practice Location Address:

9331 OLD BUSTLETON AVE STE 201
PHILADELPHIA, PA
19115-4204

Practice Phone: 215-602-8500
Practice Fax: 215-676-6507

1245247501 — GAIL T SULLIVAN MD
Practice Location Address:

9331 OLD BUSTLETON AVE , SUITE 203
PHILADELPHIA, PA
19115-4204

Practice Phone: 215-602-8900
Practice Fax: 215-602-8904

1861402828 — STEVEN U WOLF DO
Practice Location Address:

9331 OLD BUSTLETON AVE , SUITE 202
PHILADELPHIA, PA
19115-4204

Practice Phone: 215-673-7070
Practice Fax: 215-673-2828

1770740599 — PARKWOOD FAMILY CHIROPRACTIC, INC.
Practice Location Address:

9331 OLD BUSTLETON AVE , SUITE 101
PHILADELPHIA, PA
19115-4204

Practice Phone: 215-338-5010
Practice Fax: 215-673-1980

1598188401 — CARLA S CUOCI-MALIN D.O.
Practice Location Address:

9331 OLD BUSTLETON AVE , SUITE100A
PHILADELPHIA, PA
19115-4204

Practice Phone: 215-671-0653
Practice Fax:

Directions to “ ALICIA LOPER CRNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.