Individual
DONNA PONCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4310 LONDONDERRY RD STE 202, HARRISBURG, PA 17109-5329
(682) 557-1919
Mailing address
4310 LONDONDERRY RD STE 202, HARRISBURG, PA 17109-5329
(682) 557-1919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024287
PA
Other
Enumeration date
08/24/2021
Last updated
04/04/2022
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