Individual
JEANETTE CAHILL DIFORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
549 FAIR ST, BLOOMSBURG, PA 17815-1419
(570) 387-2111
Mailing address
549 FAIR ST, BLOOMSBURG, PA 17815-1419
(570) 387-2111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SPO16068
PA
Other
Enumeration date
04/03/2016
Last updated
01/13/2025
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