Individual
PAIGE NEIDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 WILLOW STREET PIKE N STE 116, WILLOW STREET, PA 17584-9385
(330) 536-3746
Mailing address
2600 WILLOW STREET PIKE N STE 116, WILLOW STREET, PA 17584-9385
(330) 536-3746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN697538
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP030422
PA
Other
Enumeration date
06/07/2023
Last updated
10/07/2024
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