Individual
ELLEN T BEHAN-HEINBOCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3535 MARKET ST, PHILADELPHIA, PA 19104-3309
(609) 332-7849
Mailing address
3535 MARKET ST, PHILADELPHIA, PA 19104-3309
(609) 332-7849
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP014727
PA
Other
Enumeration date
05/15/2017
Last updated
05/22/2017
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