Individual
EDITH A CONDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1B MAIN ST, WELLSBORO, PA 16901-1601
(570) 724-7100
(570) 724-1501
Mailing address
1B MAIN ST, WELLSBORO, PA 16901-1601
(570) 724-7100
(570) 724-1501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP009991
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008829
CRNP PRESCRIPTIVE AUTHORITY NUMBER
PA
01
—
SP009991
CRNP LICENSE NUMBER
PA
Enumeration date
11/26/2008
Last updated
11/26/2008
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