Individual
MADELINE CLISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1787 SENTRY PKWY W STE 405, BLUE BELL, PA 19422-2239
(877) 868-4827
Mailing address
1787 SENTRY PKWY W STE 405, BLUE BELL, PA 19422-2239
(877) 868-4827
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP017475
PA
Other
Enumeration date
08/28/2017
Last updated
12/13/2022
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