Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Nov 16, 2020
License(s)
RN662193 (PA), SP022907 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 220 N BUHL FARM DR | Hermitage, PA 16148-1786 | 724-342-2789 |
| MAILING | 2134 HAZEN RD | Hermitage, PA 16148-4403 | 724-866-3698 |
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