Individual
MS. HEATHER MCKNIGHT-MENCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
34TH AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-3174
(215) 590-7363
Mailing address
865 CASSEL RD, COLLEGEVILLE, PA 19426-1222
(215) 590-3174
(215) 590-7363
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
002494
PA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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