Individual
MISS MICHELLE LYNN MCLOUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(610) 662-3627
Mailing address
222 CHURCH ST, APT 2J, PHILADELPHIA, PA 19106-4521
(610) 662-3627
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP015463
PA
Other
Enumeration date
10/15/2015
Last updated
10/05/2016
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