Individual
LELA DIANE TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
919 CONESTOGA RD STE 300, BRYN MAWR, PA 19010-1352
(610) 525-6580
(610) 525-3664
Mailing address
919 CONESTOGA RD STE 300, BRYN MAWR, PA 19010-1352
(610) 525-6580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP020782
PA
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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