Individual
BRADLEY VANCOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 WALNUT BOTTOM RD, CARLISLE, PA 17015-9160
(717) 258-9355
Mailing address
12 APPALOOSA WAY, CARLISLE, PA 17015-9073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP028473
PA
363LP2300X
Primary Care Nurse Practitioner
SP028473
PA
Other
Enumeration date
01/15/2024
Last updated
11/29/2024
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