Basic Information
| Provider Information | |||||||||
| NPI: | 1730407750 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GIANOPULOS | ||||||||
| FirstName: | MONICA | ||||||||
| MiddleName: | MUSSER | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 34 RABBIT RUN | ||||||||
| Address2: | |||||||||
| City: | ROSE VALLEY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19086 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105660432 | ||||||||
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| Practice Location | |||||||||
| Address1: | 34TH ST AND CIVIC CENTER BLVD | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155901000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2010 | ||||||||
| LastUpdateDate: | 05/14/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN297181L | PA | N | Nursing Service Providers | Registered Nurse | 163WP0200X | VP006685D | PA | Y | Nursing Service Providers | Registered Nurse | Pediatrics |
No ID Information.