Individual
MRS. ELLYCE CAITRIN NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8815 GERMANTOWN AVE STE 31, PHILADELPHIA, PA 19118-2724
(215) 247-7990
Mailing address
30 FRANKLIN AVE, FLOURTOWN, PA 19031-2006
(732) 610-7919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SP025752
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
SP025752
PA
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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