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Mrs. Leni S.g Mampallil, CRNP
Primary Care Nurse Practitioner in Media, Pennsylvania
NPI 1922558741

Leni S.g Mampallil is a Primary Care Nurse Practitioner based in Aston, PA and is specialized in Primary Care. Leni S.g Mampallil practices in Media, PA and has the professional credentials of CRNP. The NPI Number for Leni S.g Mampallil is 1922558741 and holds a License No. SP016853 (Pennsylvania).

The current practice location address for Leni S.g Mampallil is 200 E State St Ste 100, Media, PA and can be reached out via phone at 610-891-9277 and via fax at 610-891-7778.

Location: 200 E State St Ste 100, Media, PA, 19014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922558741
Provider Name
Leni S.g Mampallil
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
200 E State St Ste 100, Media, PA, 19014
Phone Number
610-891-9277
Fax Number
610-891-7778
Provider Enumeration Date
10/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 E State St Ste 100
City
Media
State
Pennsylvania
Zip
19063-3434
Phone Number
610-891-9277
Fax Number
610-891-7778
person
Provider Business Mailing Address Details
Address
200 E State St Ste 100
City
Media
State
Pennsylvania
Zip
19063-3434
Phone Number
610-891-9277
Fax Number
610-891-7778
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
SP016853 ()
Definition
Definition to come...
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