Individual
LUAM GHEBREGHIORGHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2219
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP019389
PA
Other
Enumeration date
01/03/2019
Last updated
08/27/2020
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