Individual
ANDREW MAENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Mailing address
11802 COLMAN RD, PHILADELPHIA, PA 19154-2509
(267) 694-0640
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP028465
PA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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