Individual
LAUREN WOLVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
80 DEER HORN DR, MOUNT ROYAL, NJ 08061-1088
(856) 979-6042
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
SP014670
PA
Other
Enumeration date
08/03/2015
Last updated
03/14/2022
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