Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Primary Care
Enumerated
Feb 28, 2019
License(s)
SP019563 (PA), SP019563 (PA), SP019563 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 819 N BROAD ST | Lansdale, PA 19446-2320 | 267-243-5653 |
| MAILING | 680 BLAIR MILL RD | Horsham, PA 19044-2223 | 267-243-5653 |
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