Individual
FARHANA BAGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2605 WILLOW STREET PIKE N, WILLOW STREET, PA 17584-9510
(717) 464-2838
Mailing address
2605 WILLOW STREET PIKE N, WILLOW STREET, PA 17584-9510
(717) 464-2838
(717) 723-4365
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP031338
PA
Other
Enumeration date
11/14/2024
Last updated
03/25/2025
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