Individual
MRS. EMILY VANDEGRIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
711 HUNT LN, FLOURTOWN, PA 19031-1001
(267) 496-3745
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2011017443
PA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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