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1053803353
TARA IRENE COLELLA NIESEN
NORRISTOWN, PA
NPI
1053803353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP018653)
Enumeration Date
2018-06-01
Last Update Date
2019-01-22
Business Address
Mrs. TARA IRENE COLELLA NIESEN NP
1330 POWELL ST STE 507
NORRISTOWN, PA 19401-3352
Phone number: 484-622-7940
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Mailing Address
Mrs. TARA IRENE COLELLA NIESEN NP
PO BOX 789967
PHILADELPHIA, PA 19178-9967
Phone number: 484-622-7395
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