Individual
MRS. JOHANNA MARIE FARINELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9501 ROOSEVELT BLVD, PHILADELPHIA, PA 19114-1025
(215) 673-5000
Mailing address
1870 AUGUST DR, HUNTINGDON VALLEY, PA 19006-1511
(215) 322-2852
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG04180018
PA
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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