Tracey Marie Munson, CRNP Valid NPI
Individual provider · Adult Health Nurse Practitioner · Philadelphia, PA
- NPI
- 1114104577
- Type
- Individual (Type 1)
- Primary specialty
- Adult Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LA2200X
- License number
- SP009630 (PA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-01-29
- Last updated
- 2008-01-29
Practice location
3400 Spruce St
Philadelphia, PA 19104-4206
(215) 662-7355