Individual
MAUDELINE PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1927 PENFIELD ST, PHILADELPHIA, PA 19138-2716
(267) 244-3944
Mailing address
1927 PENFIELD ST, PHILADELPHIA, PA 19138-2716
(267) 244-3944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP025074
PA
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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