Organization
TELEHEALTH AND HOME NURSE PRACTITIONER SERVICES
Active
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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