Individual
ANGIE TREACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 E LANCASTER AVE STE 4303, WYNNEWOOD, PA 19096
(484) 476-6421
(484) 476-3149
Mailing address
100 E LANCASTER AVE STE 4303, WYNNEWOOD, PA 19096-3450
(484) 476-6421
(484) 476-3149
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP017970
PA
Other
Enumeration date
01/12/2018
Last updated
06/29/2018
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