Individual
JOYCE ETTENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
728 S BEAVER ST, YORK, PA 17403-2209
(717) 845-9683
(717) 843-2698
Mailing address
1706 BALTIMORE PIKE, GETTYSBURG, PA 17325-7088
(717) 845-9683
(717) 843-2698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP000136F
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50057484
CAPITAL BLUE CROSS
PA
01
—
ET746782
HIGHMARK BLUE SHIELD
PA
Enumeration date
02/05/2007
Last updated
07/08/2007
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