Individual
MRS. SUSAN BROOKE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2623 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-5131
(215) 423-2030
(215) 423-0476
Mailing address
2623 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-5131
(215) 423-2030
(215) 423-0476
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP004132D
PA
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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