Individual
DENEILLE MARCHAN-WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N WEST ST, DOYLESTOWN, PA 18901-2366
(215) 345-5300
Mailing address
500 N WEST ST, DOYLESTOWN, PA 18901-2366
(215) 345-5300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027626
PA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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