Individual
THERESA M DUNFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
51 NORTH 39TH STREET, PHI-2C, PHILADELPHIA, PA 19104-2640
(215) 662-9010
Mailing address
51 N 39TH ST, 2 PHI, PHILADELPHIA, PA 19104-2640
(215) 662-9010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NN04851900
NJ
363L00000X
Nurse Practitioner
Primary
SP006278P
PA
Other
Enumeration date
07/07/2006
Last updated
07/31/2013
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