Individual
ANNETTE REDGUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
1999 W HUNTING PARK AVE, PHILADELPHIA, PA 19140-2828
(215) 228-9300
(215) 228-9913
Mailing address
902 UNION MEETING RD, BLUE BELL, PA 19422-1910
(856) 288-9115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016914
PA
Other
Enumeration date
06/04/2016
Last updated
09/16/2019
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