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Individual

DIANA L VANHOUTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3400 SPRUCE ST, 1 FOUNDERS, PHILADELPHIA, PA 19104-4206
(215) 662-3005
Mailing address
3400 SPRUCE ST, 1 FOUNDERS, PHILADELPHIA, PA 19104-4206
(215) 662-3005

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP011444
PA

Other

Enumeration date
07/29/2011
Last updated
07/29/2011
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