Most Relevant Information
Provider Data
| NPI Number: | 1003513201 |
| Provider Name: | DAHNELLE MAMAYEA DENNIS FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP026332 |
Most Important Dates
| Enumeration Date: | 02/08/2023 |
| Last Updated: | 02/08/2023 |
Provider Practice Location
17 W CHESTER PIKE APT B1
RIDLEY PARK
PA
190782009
Practice Location Phone/Fax
| Phone: | 2159662153 |
| Fax: |
Provider Mailing Location
17 W CHESTER PIKE APT B1
RIDLEY PARK
PA
190782009
Provider Mailing Phone/Fax
| Phone: | 2159662153 |
| Fax: |