Home » Pennsylvania » 19107 » Liezl Rasgo Didonato

Liezl Rasgo Didonato (CRNP)

Mrs. Liezl Rasgo Didonato (CRNP) is a health care provider specializes in Nurse Practitioner. She is associated with medical group practice JEFFERSON UNIVERSITY PHYSICIANS and is affiliated with hospital of Thomas Jefferson University Hospital.

profile-icon Basic Information

Practice Location 111 S 11th St, Suite 6270, Philadelphia, PA 19107-4824, US
Practice Location Phone215-955-4912
Practice Location Fax215-923-0835
GenderFemale
Specialty InNurse Practitioner
Medical SchoolOther
Graduation Year2012
NPI ?1114343654
PECOS ID1456577840
Enrollment IDI20140721000882
Entity TypeIndividual
Enumeration Date ? Mar 7, 2014
Last Update Date ? Jul 22, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Liezl Rasgo Didonato

SpecialtySpecializationLicenseLicense State
Nurse PractitionerAdult Health SP012329Pennsylvania

Medicare-icon Medicare Participation of Liezl Rasgo Didonato

Accepts Medicare AssignmentYes
Report Quality MeasuresYes
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Liezl Rasgo Didonato

Medical Group PracticeJefferson University Physicians
Affiliation 1 Thomas Jefferson University Hospital

legacy-id-icon Legacy Provider IDs of Liezl Rasgo Didonato

Provider IdIssuer StateIssuer TypeIssuer
102925771PennsylvaniaMedicaid