Individual
NICOLE C ENEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
600 SOMERSET AVE, WINDBER, PA 15963-1331
(814) 467-3176
Mailing address
134 BROOKBANK DR, SUMMERHILL, PA 15958
(814) 421-7916
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP026206
PA
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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