Individual
TERESA M SIEMBORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
160 ROCK HILL RD, BALA CYNWYD, PA 19004-2144
(610) 667-6080
Mailing address
3813 CRESSON ST, PHILADELPHIA, PA 19127-1801
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP010945
PA
Other
Enumeration date
05/03/2011
Last updated
07/02/2012
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