Individual
ASHLEY SARAH BANNERMAN-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104
(215) 662-4000
Mailing address
115 SOUTH ST UNIT 2, PHILADELPHIA, PA 19147
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP030774
PA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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