Most Relevant Information
Provider Data
| NPI Number: | 1003383522 |
| Provider Name: | MAUREEN LYNN CLEARY CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | SP019542 |
Most Important Dates
| Enumeration Date: | 11/01/2018 |
| Last Updated: | 01/21/2019 |
Provider Practice Location
3400 SPRUCE ST
PHILADELPHIA
PA
191044238
Practice Location Phone/Fax
| Phone: | 2156622050 |
| Fax: |
Provider Mailing Location
3400 SPRUCE ST
PHILADELPHIA
PA
191044238
Provider Mailing Phone/Fax
| Phone: | 2156622050 |
| Fax: |