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NPI Code Detail

MEDICARE: JOAN BESSMAN APN

MEDICARE: JOAN BESSMAN APN
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 Practitioner455379TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1455379OTHERTXLICENSE

General Provider Information

NPI Number : 1841470309
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN BESSMAN APN
Provider Business Mailing Address
First Line : 161 WASHINGTON ST
Second Line : EIGHT TOWER BRIDGE SUITE 1400
City : CONSHOHOCKEN
State : PA
Zip : 19428-2083
Country : US
Telephone Number : 866-825-3227
Fax Number : 484-450-2617
Provider Business Practice Location Address
First Line : 8430 BROADWAY ST
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7883
Country : US
Telephone Number : 866-825-3227
Fax Number : 484-450-2617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2007
Last Update Date : 11/13/2007

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