Individual provider · Type 1 NPI

Maryellen Theresa O'Hara, CRNP

Adult Health Nurse Practitioner · Radnor, PA

NPI number 1366693707 Active

Practice location

250 King Of Prussia Rd
Radnor, PA 19087-5220

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	VP006835C (PA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1366693707

Maryellen Theresa O'Hara, CRNP's National Provider Identifier is 1366693707, issued on Oct 3, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Radnor, PA. The record was last updated on Oct 3, 2008.