Individual
MRS. KELLYANN NAST-GOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
101 N MERION AVE, BRYN MAWR, PA 19010-2859
(610) 526-7360
Mailing address
481 MINERVA ST, PHILADELPHIA, PA 19128-4102
(215) 482-4603
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
RN528155L
PA
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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