Individual
BETH DAMIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
85 OLD EAGLE SCHOOL RD, STRAFFORD, PA 19087-2556
(610) 688-3744
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(856) 669-6050
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP022417
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103843840
—
PA
Enumeration date
09/01/2020
Last updated
08/23/2021
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