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Organization
MISERICORDIA UNIVERSITY
Active
Organization
MISERICORDIA UNIVERSITY
Active
Parent organization
MISERICORDIA UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISERICORDIA UNIVERSITY
Authorized official
SANDRA J. FEDERO DNP, CRNP-BC (NURSE PRACTITIONER/DIRECTOR)
(570) 674-6432
Entity
Organization
Contact information
Practice address
301 LAKE ST, DALLAS, PA 18612-7752
(570) 674-6432
(570) 674-3062
Mailing address
301 LAKE ST, DALLAS, PA 18612-7752
(570) 674-6432
(570) 674-3062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/29/2018
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