Individual
MS. CAROL ANN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, PHD
Contact information
Practice address
3400 CIVIC CENTER BLVD, ONCOLOGY CLINIC, PHILADELPHIA, PA 19104-5127
(215) 590-2262
Mailing address
3501 CIVIC CENTER BOULEVARD, CTRB, 4TH FLOOR, ROOM 4019, PHILADELPHIA, PA 19104
(215) 590-2262
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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