Search › Pennsylvania › 363LA2200X
Tina Mckennon, CRNP
NPI 1992163422 · on the registry since 2016
Practice
- Address
- 51 N 39th Street
Cupp Building 1st Floor
Philadelphia, PA 19104 - Phone
- (215) 662-9801
- Fax
- (215) 243-3249
- Organisation at this address
- The Cardiology Group, P.A.
Univ Of Penn Radiation Oncology
University Of Penn-Medical Group
University Of Penn-Medical Group
University Of Penn-Medical GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 591
Additional practice sites
- 1865 Route 70 East, Cherry Hill, NJ
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LA2200X
363LA2200X - Licence states on file
- PA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania