Organization
LIFESAVERS CRNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA FEDERO CRNP (NURSE PRACTITIONER)
(570) 706-6800
Entity
Organization
Contact information
Practice address
250 DEER RUN RD, PLYMOUTH, PA 18651-4405
(570) 706-6800
Mailing address
250 DEER RUN RD, PLYMOUTH, PA 18651-4405
(570) 706-6800
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/25/2024
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