Individual
MICHELLE A POMIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
205 SOUTH FRONT STREET, 6TH FL BMA, HARRISBURG, PA 17104-1619
(717) 988-9370
(717) 703-0154
Mailing address
50 N 12TH ST, LEMOYNE, PA 17043-1440
(717) 234-2561
(717) 236-1121
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP011896
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609534
GATEWAY MEDICARE ASSURED
PA
Enumeration date
03/22/2012
Last updated
05/17/2021
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