Individual
KHUSHBOO BHAIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 STAFFORD AVE, SCRANTON, PA 18505-2120
(570) 677-2448
Mailing address
200 STAFFORD AVE, SCRANTON, PA 18505-2120
(570) 677-2448
(570) 955-1225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP026091
PA
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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