MRS. Peggy Anne Derusso, CRNP is a primary care nurse practitioner in Philadelphia, PA. MRS. Peggy Anne Derusso, CRNP NPI is 1144860735. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
7505 BUSTLETON AVE
PHILADELPHIA, PA
ZIP 19152-136
Phone: (215) 333-7505
The NPI 1144860735 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/10/2020 and was last updated on 1/10/2020.