Individual
GEORGE ANN FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7 WATER ST, WELLSBORO, PA 16901-1126
(570) 724-1010
Mailing address
40 W WELLSBORO ST, MANSFIELD, PA 16933-1411
(570) 662-1945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN529443L
PA
363LA2200X
Adult Health Nurse Practitioner
363LA2200X
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP028479
PA
Other
Enumeration date
11/17/2021
Last updated
11/22/2023
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