Individual
CARLY ELIZABETH MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1530 LOCUST ST APT 7D, PHILADELPHIA, PA 19102-4422
(267) 885-9137
Mailing address
1530 LOCUST ST APT 7D, PHILADELPHIA, PA 19102-4422
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP031114
PA
Other
Enumeration date
10/14/2024
Last updated
10/28/2024
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