Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maple Medical and Wellness

Organization Primary Care Nurse Practitioner · NPI 1710853502

Maple Medical and Wellness provides Primary Care Nurse Practitioner services in Philadelphia, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4612 Ashburner St
Philadelphia, PA 19136-2810
Phone: (267) 901-8359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1710853502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vanessa Exama Molin — Nurse Practitioner · (267) 901-8359
NPI enumeratedOctober 17, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address4612 Ashburner St, Philadelphia, PA 19136-2810

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