Individual
NANCY K ETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 2 DULLES, PHILADELPHIA, PA 19104-4238
(215) 662-7320
Mailing address
3400 SPRUCE ST, 2 DULLES, PHILADELPHIA, PA 19104-4238
(215) 662-7320
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP010174
PA
Other
Enumeration date
10/07/2011
Last updated
02/11/2014
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