Individual
MATTHEW TRENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-9600
Mailing address
729 SIGEL ST, PHILADELPHIA, PA 19148-1725
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP030370
PA
363LC0200X
Critical Care Medicine Nurse Practitioner
SP030370
PA
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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