Individual
BERNADETTE MUSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
238 DELAWARE STREET, FOREST CITY, PA 18421
(570) 785-2624
Mailing address
181 FREETHY POND ROAD, HONESDALE, PA 18431
(570) 647-6807
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
291391
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
291391
LPN
PA
Enumeration date
09/16/2013
Last updated
09/16/2013
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