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Individual

POONAM AGARWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4310 LONDONDERRY RD STE 109, HARRISBURG, PA 17109-5329
(717) 988-0611
Mailing address
4310 LONDONDERRY RD STE 109, HARRISBURG, PA 17109-5329
(717) 988-0611

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019839
PA
363LG0600X
Gerontology Nurse Practitioner
SP019839
PA

Other

Enumeration date
01/02/2019
Last updated
03/18/2024
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