Individual
MICHELLE WECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-9189
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01253600
NJ
363LG0600X
Gerontology Nurse Practitioner
SP018851
PA
Other
Enumeration date
05/14/2018
Last updated
11/22/2023
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