Organization
TELEHEALTH AND HOME NURSE PRACTITIONER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIFA THELWELL (PRACTICE OWNER)
(484) 440-9843
Entity
Organization
Contact information
Practice address
405 N LINE ST, LANSDALE, PA 19446-2755
(484) 440-9843
(215) 714-2210
Mailing address
405 N LINE ST, LANSDALE, PA 19446-2755
(484) 440-9843
(215) 714-2210
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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