Individual
BETHANN MALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
830 PENLLYN BLUE BELL PIKE, BLUE BELL, PA 19422-1670
(610) 222-9000
Mailing address
830 PENLLYN BLUE BELL PIKE, BLUE BELL, PA 19422-1670
(610) 222-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP022007
PA
Other
Enumeration date
06/05/2020
Last updated
12/27/2021
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