Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Primary Care
Enumerated
Jun 1, 2016
License(s)
SP016015 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1205 LANGHORNE NEWTOWN RD SUITE 309 | Langhorne, PA 19047-1219 | 215-939-6300 |
| MAILING | 1205 NEWTOWN RD SUITE 309 | Langhorne, PA 19047 | 215-939-6300 |
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