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Individual

PATRICIA GOLEMBIEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.P.

Contact information

Practice address
154 W MAIN ST, FREDERICKSBURG, PA 17026-9510
(717) 865-1143
(717) 865-1136
Mailing address
PO BOX 14623, READING, PA 19612-4623

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007939
PA
363LA2200X
Adult Health Nurse Practitioner
SP007939
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP0079
PROFESSIONAL LICENSE
PA
Enumeration date
06/30/2006
Last updated
02/05/2020
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