Individual
HEATHER MEDICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1700 S BROAD ST, UNIT 201, PHILADELPHIA, PA 19145-2315
(215) 685-1843
Mailing address
1700 S BROAD ST, UNIT 201, PHILADELPHIA, PA 19145-2315
(215) 685-1843
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP012917
PA
Other
Enumeration date
10/18/2012
Last updated
11/01/2016
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