Individual
ALICIA ANNE MAMIENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(267) 425-4650
Mailing address
233 GOLF HILLS RD, HAVERTOWN, PA 19083-1034
(347) 804-4424
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP013806
PA
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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