Organization · Type 2 NPI
Main Line Oncology Hematology Assoc
Adult Health Nurse Practitioner · Wynnewood, PA
NPI number
1508104043
Active
Practice location
100 E Lancaster Ave, Cancer Center
Wynnewood, PA 19096-3450
Fax (610) 645-4452
Mailing address
100 E Lancaster Ave Ste B20
Wynnewood, PA 19096-3450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP012692 (PA) |
Adult Health Nurse Practitioner: Definition to come...
823 other providers at this address
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About NPI 1508104043
Main Line Oncology Hematology Assoc's National Provider Identifier is 1508104043, issued on Jan 17, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Wynnewood, PA. The record was last updated on Aug 3, 2021.