Individual
MR. MATTHEW ROBERT PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
205 SOUTH FRONT STREET, 4TH FLOOR, BMA, HARRISBURG, PA 17104-1619
(717) 231-8555
(717) 231-8568
Mailing address
205 SOUTH FRONT STREET, 4TH FLOOR, BMA, HARRISBURG, PA 17104-1619
(717) 231-8555
(717) 231-8568
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP018608
PA
Other
Enumeration date
05/02/2018
Last updated
01/21/2021
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