Individual
JOANNA MOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1526 LOMBARD ST, PHILADELPHIA, PA 19146-1625
(215) 546-5960
Mailing address
740 S WARNOCK ST, PHILADELPHIA, PA 19147-2729
(215) 385-2327
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP014388
PA
363LA2200X
Adult Health Nurse Practitioner
SP014388
PA
363LG0600X
Gerontology Nurse Practitioner
SP014388
PA
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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