Individual
MS. MICHELA MARIE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CPNP
Contact information
Practice address
3401 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104
(215) 590-1527
(215) 590-1501
Mailing address
34TH ST & CIVIC CENTER BLVD, CHILDRENS HOSPITAL OF PHILADELPHIA ORTHOPAEDICS, PHILADELPHIA, PA 19104
(215) 590-1527
(215) 590-1501
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NJ00977500
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
SP007186
PA
Other
Enumeration date
06/09/2008
Last updated
05/14/2021
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