IndividualActive
Alexandra Buonomo, CRNP
NPI 1740994847 · Pediatric Nurse Practitioner · Philadelphia, PA
Provider details
- NPI number
- 1740994847
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- SP026846 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Phone: (215) 590-1719
Fax: (215) 590-1771
Approximate (ZIP-level) locationGet directions
Mailing address
3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Registry dates
- Enumerated
- 2023-01-12
- Last updated
- 2023-01-12
- Certified
- 2023-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.