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Individual

MRS. SELENA LORRAINE DIPAOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN CRNP

Contact information

Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2100
Mailing address
3430 VALLEY RD, MARYSVILLE, PA 17053-9519
(717) 957-3566

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP005264B
PA
363LF0000X
Family Nurse Practitioner
VP005264B
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1513898
PA
01
50041900
CAPITAL BC
PA
Enumeration date
09/20/2005
Last updated
12/28/2007
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