Individual
BETH A SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PCAM, 2 WEST, PHILADELPHIA, PA 19104-5127
(215) 662-6681
Mailing address
3400 CIVIC CENTER BLVD, PCAM , 2 WEST, PHILADELPHIA, PA 19104-5127
(215) 662-6681
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP007971
PA
Other
Enumeration date
12/13/2006
Last updated
08/10/2011
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