Individual
LISA MARIE SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 PRESIDENTIAL BLVD LBBY G1, BALA CYNWYD, PA 19004-1108
(484) 270-8817
Mailing address
100 PRESIDENTIAL BLVD LBBY G1, BALA CYNWYD, PA 19004-1108
(484) 270-8817
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP021117
PA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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