Individual
MRS. MARIA CELESTE GANNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
825 OLD LANCASTER ROAD, SUITE 400, BRYN MAWR, PA 19010
(610) 525-1202
(610) 527-0643
Mailing address
825 OLD LANCASTER ROAD, SUITE 400, BRYN MAWR, PA 19010
(610) 525-1202
(610) 527-0643
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ00274200
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
SP010620
PA
Other
Enumeration date
01/21/2010
Last updated
04/12/2018
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