Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 26NJ00618600 | NJ |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP020493 | PA |
N | 363LG0600X | Nurse Practitioner - Gerontology | SP020493 | PA |
NPI | 1467836882 |
---|---|
Provider Name | Steven Bocchese |
First Address | Philadelphia, PA 19107-4824 |
Second Address | Philadelphia, PA 19107-4824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2015 |
Last Update Date | 16/10/2020 |