Individual provider · Type 1 NPI
Andrew Maenner
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1417729906
Active
Practice location
111 S 11th St
Philadelphia, PA 19107-4824
Mailing address
11802 Colman Rd
Philadelphia, PA 19154-2509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP028465 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1417729906
Andrew Maenner's National Provider Identifier is 1417729906, issued on Oct 26, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 26, 2023.