Individual
NICOLE QUENZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3018
(215) 456-7170
Mailing address
5501 OLD YORK RD FL PALEY1, PHILADELPHIA, PA 19141-3018
(215) 456-7170
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP014953
PA
Other
Enumeration date
05/21/2015
Last updated
03/24/2023
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