Individual
JENNIFER RUTH BOBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
350 3RD ST, BEAVER, PA 15009-2261
(724) 774-3232
(724) 774-4606
Mailing address
PO BOX 155, CHESWICK, PA 15024-0155
(412) 826-1065
(412) 826-1491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP003716G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00306441
RAILROAD MEDICARE
—
Enumeration date
03/07/2006
Last updated
10/09/2020
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