Individual
MISS AMY MCCLARNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-7078
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN548
PA
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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