Individual
CARRIE ELIZABETH MALAVOLTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
34TH STREET AND CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104
(215) 590-1000
Mailing address
3131 MEETINGHOUSE RD, APT D10, UPPER CHICHESTER, PA 19061-2947
(610) 715-4271
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
SP011846
PA
Other
Enumeration date
12/20/2011
Last updated
09/12/2019
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