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Individual

MICHELE L MCRAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
240 N RADNOR CHESTER RD STE 100, RADNOR, PA 19087-2121
(484) 580-1650
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
SP030445
PA
363L00000X
Nurse Practitioner
SP030445
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP030445
PA

Other

Enumeration date
09/04/2024
Last updated
12/09/2024
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