Provider Demographics
NPI:1215101571
Name:MASNY, AGNES CECILIA (CRNP)
Entity type:Individual
Prefix:MS
First Name:AGNES
Middle Name:CECILIA
Last Name:MASNY
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:333 COTTMAN AVE
Mailing Address - Street 2:FOX CHASE CANCER CENTER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-2497
Mailing Address - Country:US
Mailing Address - Phone:215-728-2892
Mailing Address - Fax:215-728-4061
Practice Address - Street 1:333 COTTMAN AVE
Practice Address - Street 2:FOX CHASE CANCER CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-2497
Practice Address - Country:US
Practice Address - Phone:215-728-2892
Practice Address - Fax:215-728-4061
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN179131L163W00000X
PATP004598C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse