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JUNE SUPEY RN
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1881819654
Individual Registrant: JUNE SUPEY RN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
15 PUBLIC SQ SUITE312 WILKES BARRE, PA 18701-1702 US
Tel: 570-826-1777 Fax: 570-823-3040
Tel: 570-826-1777 Fax: 570-823-3040
Contact information for business:
15 PUBLIC SQ SUITE 600 WILKES BARRE, PA 18701-1702 US
Tel: 570-826-1777 Fax: 570-823-3040
Tel: 570-826-1777 Fax: 570-823-3040
Registration Information:
NPI: 1881819654
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | PA | RN137197L |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1015827080003 | PA | 05 | |
| GROUP NUMBER | 1007678420038 | PA | 01 |
