Provider Demographics
NPI:1841345733
Name:SENNETT, BOBBIANN BURGESS (CRNP)
Entity type:Individual
Prefix:
First Name:BOBBIANN
Middle Name:BURGESS
Last Name:SENNETT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 S 33RD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-6322
Mailing Address - Country:US
Mailing Address - Phone:215-615-4400
Mailing Address - Fax:215-615-4405
Practice Address - Street 1:235 S 33RD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-6322
Practice Address - Country:US
Practice Address - Phone:215-615-4400
Practice Address - Fax:215-615-4405
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007613363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q24521Medicare UPIN