CAROL A PROUD

PHILADELPHIA, PA
NPI1598929382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: PA  SP 009781)
Enumeration Date2008-07-11
Last Update Date2015-09-03
Business Address
Ms. CAROL A PROUD CRNP
3400 SPRUCE STREET
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-2428
Mailing Address
Ms. CAROL A PROUD CRNP
3400 SPRUCE STREET
PHILADELPHIA, PA 19104-4206
Phone number: 215-862-2428