Individual
CARLA JEAN VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
412 GRAVEL POND RD, #3, SOUTH ABINGTON TOWNSHIP, PA 18411-8767
(570) 587-1355
(570) 587-1355
Mailing address
412 GRAVEL POND RD, #3, SOUTH ABINGTON TOWNSHIP, PA 18411-8767
(570) 587-1355
(570) 587-1355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP004541B
PA
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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