Individual
ANDREW MCLUCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
599 ARCOLA RD, COLLEGEVILLE, PA 19426-3954
(484) 565-8440
Mailing address
PO BOX 341, WAYNE, PA 19087-0341
(610) 785-6330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015500
PA
Other
Enumeration date
07/19/2015
Last updated
08/07/2016
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