Individual
MS. MARY R. TANNEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3550 MARKET ST, ADOLESCENT CARE CENTER - 4TH FLOOR, PHILADELPHIA, PA 19104-3329
(215) 590-1000
(215) 590-0426
Mailing address
3550 MARKET ST, ADOLESCENT CARE CENTER - 4TH FLOOR, PHILADELPHIA, PA 19104-3329
(215) 590-1000
(215) 590-0426
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TP001695D
PA
Other
Enumeration date
11/22/2005
Last updated
07/08/2007
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