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Organization

MAPLE MEDICAL AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VANESSA EXAMA MOLIN CRNP (NURSE PRACTITIONER)
(267) 901-8359
Entity
Organization

Contact information

Practice address
4612 ASHBURNER ST, PHILADELPHIA, PA 19136-2810
(267) 901-8359
Mailing address
4612 ASHBURNER ST, PHILADELPHIA, PA 19136-2810
(267) 901-8359

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
10/17/2025
Last updated
10/28/2025
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