Individual
MARTHA J. CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
217 REECEVILLE RD, SUITE A, COATESVILLE, PA 19320-1572
(610) 269-9448
(610) 594-2625
Mailing address
412 CREAMERY WAY, SUITE 400, EXTON, PA 19341-2500
(610) 269-9448
(610) 594-2625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN25927L
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
VP003203C
PA
Other
Enumeration date
11/27/2006
Last updated
12/04/2013
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