Individual
MISS LUCINDA JUDITH FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
270 COMMRENCE DR, SUITE 215, FORT WASHINGTON, PA 19034-2405
(215) 653-0600
Mailing address
808 S LAWRENCE ST, PHILADELPHIA, PA 19147-3113
(267) 625-3935
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP009243
PA
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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