Individual
MARY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CRNP
Contact information
Practice address
1 UNIVERSITY PL, CHESTER, PA 19013-5792
(610) 499-4484
Mailing address
23 W HINCKLEY AVE, RIDLEY PARK, PA 19078-2104
(484) 574-9746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017225
PA
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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