Individual
JOHANNA TROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S 9TH ST, PHILADELPHIA, PA 19107-5125
(215) 985-2500
Mailing address
1500 MARKET ST FL 17, PHILADELPHIA, PA 19102-2100
(215) 945-8775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26R22309700
NJ
163W00000X
Registered Nurse
RN648670
PA
363LG0600X
Gerontology Nurse Practitioner
SP021682
PA
363LP2300X
Primary Care Nurse Practitioner
26NJ01115300
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
SP021682
PA
Other
Enumeration date
10/20/2014
Last updated
03/26/2021
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