Facts
- Status
- A
- Credential
- CRNP
- Type
- Individual
- Enumeration date
- 2012-06-21
- Last updated
- 2018-02-02
Licenses
- License PA
- SP012285
- License PA
- SP012285
Location
- Practice location
- 500 UNIVERSITY DR
- City
- HERSHEY PA
- Postal code
- 170332360
- Phone
- 717-531-8887
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.