Provider Demographics
NPI:1831741628
Name:RATIER SACONI DE ALMEIDA, BRUNO (RN)
Entity type:Individual
Prefix:
First Name:BRUNO
Middle Name:
Last Name:RATIER SACONI DE ALMEIDA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 LOCUST WALK
Mailing Address - Street 2:MB 732
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:814-862-8508
Mailing Address - Fax:
Practice Address - Street 1:418 CURIE BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4217
Practice Address - Country:US
Practice Address - Phone:814-862-8508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN714373163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse