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Individual

JOHN BAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2695
(570) 271-6523
(570) 271-8056
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ01244000
NJ
363L00000X
Nurse Practitioner
Primary
SP020925
PA
363LC0200X
Critical Care Medicine Nurse Practitioner
SP020925
PA

Other

Enumeration date
10/04/2019
Last updated
02/03/2026
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