Individual
MRS. BROOKE NEUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 MARKET ST, 2 RAVDIN, PHILADELPHIA, PA 19104-3306
(215) 662-3606
Mailing address
3400 MARKET ST, 2 RAVDIN, PHILADELPHIA, PA 19104-3306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015713
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103082290
—
PA
Enumeration date
01/21/2016
Last updated
06/08/2016
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