Provider Demographics
NPI:1396026084
Name:HO, ALICE Y (CRNP)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:Y
Last Name:HO
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:3535 MARKET ST
Mailing Address - Street 2:SUITE 1568
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-3309
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3535 MARKET ST
Practice Address - Street 2:SUITE 1514
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3309
Practice Address - Country:US
Practice Address - Phone:267-426-5292
Practice Address - Fax:215-590-0426
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2012-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PATP004730D363LP0200X
NJ26NJ00362300363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics