Healthcare Provider Details

I. General information

NPI: 1669625042
Provider Name (Legal Business Name): VESNA HESS CRNP, CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2008
Last Update Date: 02/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 CYPRESS ST
PHILADELPHIA PA
19103-6508
US

IV. Provider business mailing address

2100 CYPRESS ST
PHILADELPHIA PA
19103-6508
US

V. Phone/Fax

Practice location:
  • Phone: 215-605-1748
  • Fax:
Mailing address:
  • Phone: 215-605-1748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN533443
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP009898
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: