Individual provider · Type 1 NPI

Mary Lynn Wilby, MSN, CRNP

Adult Health Nurse Practitioner · Philadelphia, PA

NPI number 1396916508 Active

Practice location

3400 Spruce Street
Philadelphia, PA 19104-4206

Call (215) 615-5858 Map

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4204

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	VP004387C (PA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1396916508

Mary Lynn Wilby, MSN, CRNP's National Provider Identifier is 1396916508, issued on Mar 14, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 28, 2011.