Individual
MARIA VANEEZA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2850 COMMERCE DR, HARRISBURG, PA 17110-9383
(717) 657-1361
(717) 657-5396
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN556914
PA
363L00000X
Nurse Practitioner
Primary
SP016665
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031963710001
—
PA
01
—
540189F6K
MEDICARE
PA
Enumeration date
10/10/2016
Last updated
12/23/2019
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