Individual
WENDY MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
821 N PENNOCK ST, PHILADELPHIA, PA 19130-1715
(508) 274-0540
Mailing address
821 N PENNOCK ST, PHILADELPHIA, PA 19130-1715
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP011995
PA
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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