Individual
CAROLYN D BRUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNP
Contact information
Practice address
8344 WOODBURY PIKE UNIT 101, ROARING SPRING, PA 16673-8107
(814) 205-4025
(814) 240-6632
Mailing address
3920 PINEY CREEK RD, WILLIAMSBURG, PA 16693-8308
(814) 312-8098
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN5229646
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP011992
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102697854 0001
—
PA
Enumeration date
03/18/2007
Last updated
06/23/2022
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