Individual
THERESA MARIE FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6597
(717) 531-7790
Mailing address
500 UNIVERSITY DR, MC CA410, HERSHEY, PA 17033-2360
(717) 531-5208
(717) 531-0119
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
SP027865
PA
363L00000X
Nurse Practitioner
Primary
SP027865
PA
Other
Enumeration date
08/11/2023
Last updated
10/29/2024
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