Individual
FELECIA A TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
960A HARVEST DR STE 100, BLUE BELL, PA 19422-1991
(610) 825-9360
Mailing address
960A HARVEST DR STE 100, BLUE BELL, PA 19422-1991
(610) 825-9360
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN263389
PA
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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