Individual
RYAN GUNDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1430 N 31ST ST, PHILADELPHIA, PA 19121-3957
(610) 462-7954
Mailing address
1430 N 31ST ST, PHILADELPHIA, PA 19121-3957
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP027397
PA
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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