Individual
MICHELLE FOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 CHESTNUT ST, PHILADELPHIA, PA 19107-3612
(215) 955-8900
Mailing address
132 S 10TH ST, PHILADELPHIA, PA 19107-5244
(215) 955-8900
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP030505
PA
Other
Enumeration date
10/21/2024
Last updated
11/11/2024
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