Individual
DR. LYNN-MARIE N CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024655
PA
Other
Enumeration date
10/26/2021
Last updated
10/27/2021
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