Individual
MARTHA FROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3941 COMMERCE AVE, WILLOW GROVE, PA 19090
(215) 481-4000
Mailing address
2500 MARYLAND RD STE 400, WILLOW GROVE, PA 19090-1225
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
RN165549L
PA
363L00000X
Nurse Practitioner
Primary
TP006079B
PA
363LF0000X
Family Nurse Practitioner
TP006079B
PA
Other
Enumeration date
03/30/2007
Last updated
08/16/2018
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