Individual
SUSAN VONNESSEN-SCANLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRPNP
Contact information
Practice address
1300 W LEHIGH AVE, PHILADELPHIA, PA 19132-2760
(215) 204-3084
Mailing address
7034 REDCOAT DR, FLOURTOWN, PA 19031-1314
(126) 762-5062
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP004226N
PA
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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