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Individual

MS. ALBERTA C MOBLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-1622
(215) 707-0943
Mailing address
2450 W HUNTING PARK AVE, PHILA, PA 19129-1302
(215) 707-1622
(215) 707-0943

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP011884
PA
363LF0000X
Family Nurse Practitioner
SP011884
PA

Other

Enumeration date
06/19/2012
Last updated
04/05/2018
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