Organization · Type 2 NPI
Blue Ridge Medical Center
Family Nurse Practitioner · New Milford, PA
NPI number
1164775342
Active
Practice location
433 Church St
New Milford, PA 18834-6603
Fax (570) 465-4501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | BM2828929 (PA) |
| Family Nurse Practitioner Primary | 363LF0000X | SP009050 (PA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1164775342
Blue Ridge Medical Center's National Provider Identifier is 1164775342, issued on Oct 25, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Milford, PA. The record was last updated on Oct 25, 2012.