Individual
MS. CAROLE MUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
900 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5509
(215) 955-6871
Mailing address
900 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5509
(215) 955-6871
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011214
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102879839
—
PA
Enumeration date
08/09/2011
Last updated
03/24/2014
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