is a Family in Harrisburg, Pennsylvania. practices all healthcare services and medical treatments related to Family. The NPI Number for is 1932150513. The last update date is .
's current location address is 111 S Front St, Harrisburg, Pennsylvania. You can contact this provider via phone number 7179880000 and fax number 7177825716. The mailing address for is 111 S Front St, Harrisburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 111 S Front St, Harrisburg, Pennsylvania |
Phone Number | 7179880000 |
Fax Number | 7177825716 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1932150513 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 111 S Front St |
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City | Harrisburg |
State | Pennsylvania (PA) |
Post Code | 171012010 |
Phone Number | 7179880000 |
Fax Number | 7177825716 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | SP008823 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1786463 | PA | HIGHMARK BS | |
50058283 | PA | CAPITAL BCBS | |
103031344 | PA | -- |
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