Individual provider · Type 1 NPI
Mary Carter Dorrance, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1407439730
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP023299 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1407439730
Mary Carter Dorrance, CRNP's National Provider Identifier is 1407439730, issued on May 4, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 2, 2021.