TARA IRENE COLELLA NIESEN

NORRISTOWN, PA
NPI1053803353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP018653)
Enumeration Date2018-06-01
Last Update Date2019-01-22
Business Address
Mrs. TARA IRENE COLELLA NIESEN NP
1330 POWELL ST STE 507
NORRISTOWN, PA 19401-3352
Phone number: 484-622-7940
Mailing Address
Mrs. TARA IRENE COLELLA NIESEN NP
PO BOX 789967
PHILADELPHIA, PA 19178-9967
Phone number: 484-622-7395