Individual
MRS. MARY SUSAN MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3998 RED LION RD STE 214, PHILADELPHIA, PA 19114-1440
(215) 612-5050
Mailing address
1816 GIBSON RD, BENSALEM, PA 19020-3010
(215) 499-8074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP021506
PA
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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