MEDICARE: MISS JENNIFER M BABIA-ESPIRITU CRNA

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	367500000X	Certified Registered Nurse Anesthetist	RN343967L	PA

General Provider Information

NPI Number	:	1205800505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JENNIFER M BABIA-ESPIRITU CRNA

Provider Business Mailing Address
First Line	:	111 S 11TH ST
Second Line	:	STE 8490
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4824
Country	:	US
Telephone Number	:	215-955-6161
Fax Number	:	215-923-5507

Provider Business Practice Location Address
First Line	:	3601 NORTH FRONT STREET
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-1095
Country	:	US
Telephone Number	:	856-662-7046
Fax Number	:

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	01/25/2019

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