Individual
NICOLE MARIE GHEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP-BC
Contact information
Practice address
1245 CHURCH RD, WYNCOTE, PA 19095-1800
(215) 884-9990
Mailing address
1245 CHURCH RD, WYNCOTE, PA 19095-1800
(215) 884-9990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP009752
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP009752
PA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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