Individual
DALLAS MUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
701 MONTGOMERY AVE, SUITE 18, NARBERTH, PA 19072-2036
(610) 642-9200
Mailing address
701 MONTGOMERY AVE, SUITE 18, NARBERTH, PA 19072-2036
(610) 642-9200
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP011707
PA
Other
Enumeration date
11/19/2011
Last updated
08/10/2020
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