Individual
MS. COLLEEN ELIZABETH MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SP016947
Contact information
Practice address
6608 CASTOR AVE, PHILADELPHIA, PA 19149-2120
(215) 342-7711
Mailing address
6608 CASTOR AVE, PHILADELPHIA, PA 19149-2120
(215) 342-7711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016947
PA
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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