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Individual

JODI A CALABRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1130 HIGHWAY 315, WILKES BARRE, PA 18702-6852
(570) 823-8896
(570) 823-1291
Mailing address
1130 HIGHWAY 315, WILKES BARRE, PA 18702-6852
(570) 823-8896
(570) 823-1291

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TP005924H
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
928312
BLUE SHIELD
Enumeration date
09/14/2006
Last updated
04/22/2008
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