Individual
VANESSA LEE PASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
208 KEVIN LN, SUITE 101, BRODHEADSVILLE, PA 18322-7044
(570) 992-7620
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP011820
PA
Other
Enumeration date
02/02/2012
Last updated
01/05/2016
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