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Pediatrics, Critical Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1700099678

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
Tel: 717-687-9407  Fax: 717-687-9237

Contact information for business:
Tel: 717-687-9407  Fax: 717-687-9237

Registration Information:
NPI: 1700099678
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0222XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics, Critical Care
N363LP0222XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Legacy codes, insurance codes and state license numbers:



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