Individual
MALLORY MOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4000
Mailing address
2601 PENNSYLVANIA AVE APT 347, PHILADELPHIA, PA 19130-2323
(484) 794-0067
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125729
PA
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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