Individual
THERESE PAULINE MCKNIGHT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH ST AND CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104
(215) 590-6539
Mailing address
309 WASHINGTON ST, APT 4210, CONSHOHOCKEN, PA 19428-1963
(215) 590-6539
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP008090
PA
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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