Individual
MARYBETH KUSHNIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
30 LAWRENCE RD, SUITE 100, BROOMALL, PA 19008-3301
(484) 446-3588
Mailing address
1225 DERMOND RD, DREXEL HILL, PA 19026-4901
(484) 454-5674
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014591
PA
Other
Enumeration date
01/08/2015
Last updated
01/09/2017
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