ELIZABETH ANNE MOSTOVYK (NPI# 1710230461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710230461 |
Entity Type | Individual |
Full Name | ELIZABETH ANNE MOSTOVYK |
Credential | CRNP |
Practice Address |
2601 Holme Ave Philadelphia PA 19152-2007 |
Mailing Address |
904 Oberlin Ave Delran NJ 08075-1309 |
Practice Telephone | 2153356000 |
Mailing Telephone | 2155346947 |
Enumeration Date | 2012-10-18 |
Last Update Date | 2012-10-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP012330 | PA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | LICENSE | SP012330 | 01 |
Street Address |
2601 HOLME AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19152-2007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033737671 | Ayesha Jamil | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2096 | 2020-07-09 |
1396361028 | Yana Ananeva | Nurse Practitioner | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-06-18 |
1932724580 | Benjamin Browne | Specialist/Technologist | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-06-10 |
1922623446 | Kurt Marc Isaac-elder | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2096 | 2020-06-10 |
1265056758 | Liane E. Hunter | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-06-01 |
1942823307 | Syed Fahad Shah | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2096 | 2020-05-20 |
1497377303 | Georgette Amanda Hattier | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-05-13 |
1215559273 | Cesar Grandez | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2096 | 2020-05-13 |
1942822168 | Ali Iqbal | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-05-11 |
1104448323 | Aimal Shah | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-05-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
Find all providers in zip 19152 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
1780185835 | Neva White | Nurse Practitioner | 211 S 9th St Ste 300, Philadelphia, PA 19107-6810 | 2018-02-23 |
1790298487 | Anne Kathryn Henner | Nurse Practitioner | 925 Chestnut St Ste 420a, Philadelphia, PA 19107-4247 | 2017-11-16 |
1174052997 | Cynthia Wheeler | Nurse Practitioner | 925 Chestnut St # 421d, Philadelphia, PA 19107-4216 | 2017-06-06 |
1740716893 | Liliya Gurevich | Nurse Practitioner | 7906 Frontenac St, Philadelphia, PA 19111-2902 | 2017-05-11 |
1235589664 | Juliana Omile | Nurse Practitioner | 7521 Woodcrest Ave, Philadelphia, PA 19151-2702 | 2016-06-16 |
1275980468 | Joji Thomas | Nurse Practitioner | 9659 Sandanne Rd, Philadelphia, PA 19115-2727 | 2016-05-18 |
1073988374 | Cristhi Wilson-brown | Nurse Practitioner | 521 W Girard Ave, Philadelphia, PA 19123-1428 | 2015-12-11 |
1932579984 | Tierney A Fisher | Nurse Practitioner | 3737 Market St Fl 10, Philadelphia, PA 19104-5545 | 2015-10-03 |
1306223813 | Anthony Yaroslav Fisun | Nurse Practitioner | 2008 President St, Philadelphia, PA 19115-2607 | 2015-05-04 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19152 |
Please comment or provide details below to improve the information on ELIZABETH ANNE MOSTOVYK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.