Individual
NUCHANART VENBRUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 NORTH FRONT STREET, HARRISBURG, PA 17109
(717) 238-8852
Mailing address
3940 LOCUST LANE, HARRISBURG, PA 17101
(717) 545-5787
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD044973L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014263326
—
PA
01
—
4468003
AETNA
PA
01
—
VE103217
HIGHMARK BLUE SHIELD
—
Enumeration date
06/23/2006
Last updated
11/15/2013
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