Individual
DEBORAH A FERNICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2907 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4305
(814) 943-8164
Mailing address
608 CRAWFORD AVE, ALTOONA, PA 16602-4823
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
SP005188M
PA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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