Individual
ELLEN GAMBRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6325 WOODLAND AVE, PHILADELPHIA, PA 19142-2036
(215) 729-6026
(215) 729-6046
Mailing address
6325 WOODLAND AVE, PHILADELPHIA, PA 19142-2036
(215) 729-6026
(215) 729-6046
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP014707
PA
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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