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Individual

KIA MORLEY MELLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
680 BLAIR MILL RD, HORSHAM, PA 19044-2223
(866) 297-9232
Mailing address
127 MERION AVE, NARBERTH, PA 19072-2414
(215) 821-6542

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP008619
PA
363LG0600X
Gerontology Nurse Practitioner
SP008622
PA

Other

Enumeration date
04/26/2007
Last updated
06/03/2014
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