Individual
MRS. GRETCHEN DELONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 YEARSLEY MILL RD, MEDIA, PA 19063-5518
(489) 227-1476
Mailing address
100 YEARSLEY MILL RD, MEDIA, PA 19063-5518
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN639524
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WA0400X
REGISTERED NURSE/ADDICTION (SUBSTANCE USE DISORDER)
PA
Enumeration date
06/13/2018
Last updated
06/13/2018
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