Individual
MISS LEEANN STILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Mailing address
1923 CHAPEL AVE W, CHERRY HILL, NJ 08002-2013
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021153
PA
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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