Individual
MRS. JOANNE MICHENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 DARBY RD, HAVERTOWN, PA 19083-2443
(610) 247-3763
Mailing address
2103 DARBY RD, HAVERTOWN, PA 19083-2443
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN270237L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061725634
AGENCY
PA
Enumeration date
02/01/2011
Last updated
02/02/2011
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