Individual
MARTHA SHEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(215) 339-4563
Mailing address
818 MEREDITH DR, MEDIA, PA 19063-1714
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN239933L
PA
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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