Individual
MISS LAURA COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
161 CECIL B MOORE AVE APT 204, PHILADELPHIA, PA 19122-3243
(215) 585-2144
(267) 780-7032
Mailing address
161 CECIL B MOORE AVE APT 204, PHILADELPHIA, PA 19122-3243
(215) 585-2144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024407
PA
Other
Enumeration date
12/02/2021
Last updated
03/31/2022
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