Individual
MRS. TARA ELIZABETH QUENZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, CRNP
Contact information
Practice address
925 CHESTNUT ST, PHILADELPHIA, PA 19107-4216
(215) 955-5050
Mailing address
2137 OAKDALE AVE, GLENSIDE, PA 19038-4724
(267) 614-8379
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN661917
PA
363L00000X
Nurse Practitioner
Primary
SP024821
PA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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