Individual
MS. GEMMA LAURIO OETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
3701 DANER LN, PHILADELPHIA, PA 19114-1950
(267) 909-7863
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP019699
PA
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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