Individual
MRS. AUDREY DIANE SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1811 BETHLEHEM PIKE STE A108, FLOURTOWN, PA 19031
(215) 884-9959
Mailing address
2500 MARYLAND RD STE 400, WILLOW GROVE, PA 19090-1225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN606753
PA
Other
Enumeration date
10/23/2017
Last updated
06/03/2019
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