Healthcare Provider Details

I. General information

NPI: 1447864020
Provider Name (Legal Business Name): MONICA ANNE PHILBIN PNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA ANNE DISIPIO

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 05/31/2025
Certification Date: 05/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W LANCASTER AVE
PAOLI PA
19301-1763
US

IV. Provider business mailing address

401 ROUTE 73 N STE 320
MARLTON NJ
08053-3426
US

V. Phone/Fax

Practice location:
  • Phone: 610-334-8341
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP022431
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP022431
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: