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: |