Individual
RENEE E CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
6950 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2120
(215) 951-4400
Mailing address
6950 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2120
(215) 951-4400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP001461H
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP001461H
PA
Other
Enumeration date
03/14/2007
Last updated
05/02/2016
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