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Individual

MRS. PRUDENCE LYN SCHUCHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1 LEMOYNE SQ, SUITE 201, LEMOYNE, PA 17043-1230
(717) 737-4511
(717) 909-6659
Mailing address
1 LEMOYNE SQ, SUITE 201, LEMOYNE, PA 17043-1230
(717) 737-4511
(717) 909-6659

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP010322
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1328102
COVENTRY HEALTH AMERICA
PA
01
2117428
HIGHMARK BLUE SHIELD
PA
01
50107812
CAPITAL BLUE CROSS
PA
Enumeration date
06/23/2009
Last updated
04/23/2015
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