Individual
CAROL HUTELMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN CRNP
Contact information
Practice address
5501 OLD YORK RD, COMMUNITY PRACTICE CENTER, PALEY 1, PHILADELPHIA, PA 19141-3018
(215) 456-7991
(215) 456-7375
Mailing address
5501 OLD YORK RD, COMMUNITY PRACTICE CENTER, PALEY 1, PHILADELPHIA, PA 19141-3018
(215) 456-7991
(215) 456-7375
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
UP001859C
PA
Other
Enumeration date
10/25/2007
Last updated
12/19/2007
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