Individual
BRIANNA ELIZABETH REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-2428
(215) 349-5923
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-2428
(215) 349-5923
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP018301
CERTIFIED REGISTERED NURSE PRACTITIONER
PA
Enumeration date
12/18/2017
Last updated
09/10/2021
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