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NPI Code Detail

MEDICARE: MR. CHRISTOPHER AVISO CRNP

MEDICARE: MR. CHRISTOPHER AVISO CRNP
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
1363LF0000XFamily Nurse PractitionerSP010785PA

General Provider Information

NPI Number : 1760772610
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER AVISO CRNP
Provider Business Mailing Address
First Line : 5001 TOWNSHIP LINE RD
Second Line :
City : DREXEL HILL
State : PA
Zip : 19026-4821
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 5001 TOWNSHIP LINE RD
Second Line :
City : DREXEL HILL
State : PA
Zip : 19026-4821
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2011
Last Update Date : 11/26/2025

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Directions to “ MR. CHRISTOPHER AVISO CRNP” Practice Location

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