Individual
NISSA ANN FREEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 E MARKET ST, DANVILLE, PA 17821-2009
(157) 027-5496
Mailing address
507 E MARKET ST, DANVILLE, PA 17821-2009
(157) 027-5496
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN649635
PA
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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