Individual
JEAN MARIE CALCUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP - FNPBC
Contact information
Practice address
217 HARRISBURG AVE, LANCASTER, PA 17603-2964
(717) 544-8312
Mailing address
217 HARRISBURG AVE, LANCASTER, PA 17603-2964
(717) 544-8312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R161319
MD
363LF0000X
Family Nurse Practitioner
Primary
SP012127
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP012127
NP LICENSE
PA
Enumeration date
09/16/2011
Last updated
07/19/2012
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