Individual
CAROLYN GAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4125 TYSON AVE, PHILADELPHIA, PA 19135-1615
(215) 803-4730
Mailing address
4125 TYSON AVE, PHILADELPHIA, PA 19135-1615
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN573619
PA
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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