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JUDITH MCDEVITT PIESTRAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
746 JEFFERSON AVE, SUITE 305, SCRANTON, PA 18510-1624
(570) 342-1776
(570) 963-0663
Mailing address
746 JEFFERSON AVE, SUITE 305, SCRANTON, PA 18510-1624
(570) 342-1776
(570) 963-0663

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP006306C
PA
363LA2200X
Adult Health Nurse Practitioner
SP006306C
PA

Other

Enumeration date
02/10/2006
Last updated
08/02/2021
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