Individual
EDWARD ENGDAHL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 214-4696
Mailing address
1430 CEMETERY RD, MONTOURSVILLE, PA 17754-8163
(570) 238-8520
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
Primary
RN750396
PA
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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