Individual
JOAN MILLER-FORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 BALTIMORE PIKE, SPRINGFIELD, PA 19064-2800
(610) 690-2500
Mailing address
8111 VERMEER PL, PHILADELPHIA, PA 19153-1124
(610) 690-2500
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN278924L
PA
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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