Individual
BETHANY IRENE MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PCAM 2ND FLOOR WEST, PHILADELPHIA, PA 19104-5127
(215) 615-5858
Mailing address
3400 CIVIC CENTER BLVD, PCAM 2ND FLOOR WEST, PHILADELPHIA, PA 19104-5127
(215) 615-5858
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014811
PA
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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