Healthcare Provider Details

I. General information

NPI: 1316480999
Provider Name (Legal Business Name): ASHLEE ELIZABETH SERRAO DNP, CRNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2016
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 OLD YORK RD STE 4
PHILADELPHIA PA
19141-3018
US

IV. Provider business mailing address

101 E OLNEY AVE STE 400
PHILADELPHIA PA
19120-2470
US

V. Phone/Fax

Practice location:
  • Phone: 215-456-8608
  • Fax: 215-456-7512
Mailing address:
  • Phone: 215-456-7000
  • Fax: 215-456-5926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN573932
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP016851
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: