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Individual

REGINA S KUNCELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1020 MUNICIPAL RD, HASTINGS, PA 16646-6811
(814) 248-0680
Mailing address
1020 MUNICIPAL RD, HASTINGS, PA 16646-6811

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN596128
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP013201
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103076079-0001
PA
Enumeration date
09/03/2013
Last updated
02/19/2019
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