Individual
MRS. MEREDITH ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
108 WILDER WAY, NORTH WALES, PA 19454-1533
(215) 514-7801
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP014483
PA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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