Individual
MS. CARA GOULDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, PMHNP-BC
Contact information
Practice address
100 W LEHIGH AVE, PHILADELPHIA, PA 19133-4039
(215) 739-2669
Mailing address
418 CURIE BLVD, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP017942
PA
Other
Enumeration date
07/07/2017
Last updated
03/17/2018
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