Individual
GOODNEWS MCFIBERESIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 432-2693
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 432-2693
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP025879
PA
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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