Provider Demographics
NPI:1225899750
Name:TSO, DAVID (CRNP)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:TSO
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 S BAYBERRY LN
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-1204
Mailing Address - Country:US
Mailing Address - Phone:215-519-5798
Mailing Address - Fax:
Practice Address - Street 1:234 S BAYBERRY LN
Practice Address - Street 2:SIGNIFY INSURANCE COMPANY, HIRED AS A 1099 CONTRACTOR
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-1204
Practice Address - Country:US
Practice Address - Phone:215-519-5798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP023572363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily