Individual
KARI ANN MYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
700 QUINCY AVE, SCRANTON, PA 18510-1724
(570) 770-5926
Mailing address
218 SOUTH ST, WAYMART, PA 18472-9328
(570) 493-1827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN656392
PA
363L00000X
Nurse Practitioner
Primary
SP021925
PA
363LF0000X
Family Nurse Practitioner
SP021925
PA
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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