Organization · Type 2 NPI

Stratum of PA PC

Nurse Practitioner · Bangor, PA

NPI number 1720939192 Active

Practice location

55 Broadway Ste R
Bangor, PA 18013-2665

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1720939192

Stratum of PA PC's National Provider Identifier is 1720939192, issued on Feb 3, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bangor, PA. The record was last updated on Feb 3, 2026.