Individual
MS. CAROL ANN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, PHD
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN267850L
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
TP003420N
PA
Other
Enumeration date
05/27/2008
Last updated
03/04/2015
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