Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Apr 26, 2017
License(s)
SP016974 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1534 PARK AVE SUITE 310 | Quakertown, PA 18951-1084 | 484-526-7246 |
| LOCATION | 1534 PARK AVE SUITE 310 | Quakertown, PA 18951-1084 | 484-526-7246 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.