Individual
CAROL A MEDURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
233 S PROSPECT ST, NANTICOKE, PA 18634-2443
(570) 735-0102
Mailing address
89 FAWN RIDGE RD, WHITE HAVEN, PA 18661-3623
(570) 443-0614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP012432
PA
Other
Enumeration date
10/29/2012
Last updated
06/12/2024
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