Individual
ELIZABETH GRODANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WALNUT ST, 20TH FLOOR, PHILADELPHIA, PA 19107-5176
(215) 829-8713
Mailing address
800 WALNUT ST, 20TH FLOOR, PHILADELPHIA, PA 19107-5176
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP013614
PA
Other
Enumeration date
10/01/2014
Last updated
09/03/2015
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