Individual
COLLEEN MARIE IANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 316-5151
Mailing address
15 LEGION TER, LANSDOWNE, PA 19050-2216
(610) 888-3902
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP022629
PA
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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