Individual
JANE STEWART WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
897 POPLAR CHURCH RD, CAMP HILL, PA 17011-2206
(717) 975-8585
Mailing address
4551 COLEBROOK RD, HERSHEY, PA 17033-9105
(717) 367-6786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP005927-B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP005927-B
—
PA
Enumeration date
10/24/2005
Last updated
08/05/2010
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