Individual
ELLEN MARY LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH STREET AND CIVIC CENTER BOULEVARD, THE WOOD BUILDING 4TH FLOOR ONCOLOGY, PHILADELPHIA, PA 19104
(267) 426-7635
(267) 426-7637
Mailing address
34TH STREET AND CIVIC CENTER BOULEVARD, THE WOOD BUILDING 4TH FLOOR ONCOLOGY, PHILADELPHIA, PA 19104
(267) 426-7635
(267) 426-7637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR10836000
PA
163W00000X
Registered Nurse
RN528266L
PA
363LP0200X
Pediatric Nurse Practitioner
26NJ00072700
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
SP008006
PA
Other
Enumeration date
07/08/2008
Last updated
07/10/2008
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