Individual
MS. CAROL A PROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-2428
(215) 481-6741
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 862-2428
(215) 481-6741
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP 009781
PA
Other
Enumeration date
07/11/2008
Last updated
09/03/2015
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