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NPI Code Detail

MEDICARE: DANA DENIECE DUKE-CUELLO

MEDICARE:   DANA DENIECE DUKE-CUELLO
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
1163W00000XRegistered NurseRN605361PA

General Provider Information

NPI Number : 1053275800
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA DENIECE DUKE-CUELLO
Provider Business Mailing Address
First Line : 8480 LIMEKILN PIKE APT 513
Second Line :
City : WYNCOTE
State : PA
Zip : 19095-2862
Country : US
Telephone Number : 215-609-0595
Fax Number :
Provider Business Practice Location Address
First Line : 3900 WOODLAND AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4551
Country : US
Telephone Number : 215-823-4022
Fax Number : 215-823-6040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ DANA DENIECE DUKE-CUELLO ” Practice Location

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