Individual
MARIE CATHERINE IANNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 3, PHILADELPHIA, PA 19104-5127
(215) 615-5858
Mailing address
3400 CIVIC CENTER BLVD FL 3, PHILADELPHIA, PA 19104-5127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017492
PA
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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