Individual
SABAH RAYMOND BOU SAMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
44 SOUTH WASHINGTON AVENUE, GREENSBURG, PA 15601-2768
(724) 836-1862
(724) 836-7477
Mailing address
44 SOUTH WASHINGTON AVENUE, GREENSBURG, PA 15601-2768
(724) 836-1862
(724) 836-7477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP006740B
PA
363LG0600X
Gerontology Nurse Practitioner
VP006741H
PA
Other
Enumeration date
07/06/2006
Last updated
01/15/2009
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