Individual
MARY FRANCES MACCORMACK-SUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP, AACC
Contact information
Practice address
3400 SPRUCE ST, 9 GATES, PHILADELPHIA, PA 19104-4238
(215) 662-7355
Mailing address
3400 SPRUCE ST, 9 GATES, PHILADELPHIA, PA 19104-4238
(215) 662-7355
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
TP002059H
PA
Other
Enumeration date
08/01/2012
Last updated
10/25/2013
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