IndividualActive
Tiana Bodison, CRNP
NPI 1174215347 · Ambulatory Women's Health Care Registered Nurse · Philadelphia, PA
Provider details
- NPI number
- 1174215347
- Entity type
- Individual
- Primary specialty
- Ambulatory Women's Health Care Registered NurseNursing Service Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- SP026858 (PA)
Specialties & taxonomies
Nursing Service Providers
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (215) 316-5151
Approximate (ZIP-level) locationGet directions
Mailing address
3400 Spruce St
Philadelphia, PA 19104-4238
Registry dates
- Enumerated
- 2023-05-24
- Last updated
- 2023-05-24
- Certified
- 2023-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.