Most Relevant Information
Provider Data
NPI Number: | 1003293010 |
Provider Name: | MEREDITH MOONEY-LEVIN CRNA |
Entity Type: | Individual |
Taxonomy Code: | 163W00000X |
Specialty: | Registered Nurse |
License Number: | R213871 |
Most Important Dates
Enumeration Date: | 04/28/2015 |
Last Updated: | 01/29/2018 |
Provider Practice Location
736 N 38TH ST UNIT C
PHILADELPHIA
PA
191041655
Practice Location Phone/Fax
Phone: | 2673227700 |
Fax: |
Provider Mailing Location
1111 W CORNELIA AVE
APT 104
CHICAGO
IL
606571596
Provider Mailing Phone/Fax
Phone: | |
Fax: |