Individual
SVETLANA MAMIKONYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3300 TILLMAN DR, BENSALEM, PA 19020-2071
(215) 914-4444
(215) 245-2073
Mailing address
1648 HUNTINGDON PIKE, MEDICAL STAFF OFFICE 1ST FLR, MEADOWBROOK, PA 19046-8001
(215) 938-3450
(215) 938-3829
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013306
PA
Other
Enumeration date
12/12/2013
Last updated
07/01/2021
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