TINA MARIE MCKENNON

PHILADELPHIA, PA
NPI1992163422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: PA  SP015746)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: PA  A0915003)
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ  26NJ01153900)
Enumeration Date2016-01-28
Last Update Date2022-06-29
Business Address
Mrs. TINA MARIE MCKENNON CRNP
51 N 39TH STREET CUPP BUILDING 1ST FLOOR
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-9801
Mailing Address
Mrs. TINA MARIE MCKENNON CRNP
51 N 39TH STREET CUPP BUILDING 1ST FLOOR
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-9801