Mariamma Mathew Idichandy
Mariamma Mathew Idichandy is a Medical-Surgical Registered Nurse in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2022.
- Licensed in
- PA
- In the registry since
- 2022
Practice location Address checks out
5501 Old York Rd Ste 1Philadelphia, PA 19141-3098
Phone: (215) 456-7890
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Specialties & licences
| Medical-Surgical Registered Nurse (primary) | Taxonomy 163WM0705X · Licence 210460994 (PA) |
|---|
Record details
| NPI number | 1659093698 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 15, 2022 |
| Last updated in NPPES | September 15, 2022 |
| Certification date | September 15, 2022 |
| Mailing address | 7707 Bradford St, Philadelphia, PA 19152-3809 |
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