Individual
JENNA NICOLE WALTIMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 EISENHOWER DR # A, HANOVER, PA 17331-5241
(717) 646-4201
Mailing address
20 NORTH ST, HANOVER, PA 17331-2275
(717) 637-7755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062178
PA
363AM0700X
Medical Physician Assistant
MA062178
PA
Other
Enumeration date
02/21/2021
Last updated
07/01/2024
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