Individual
AQUILA DUFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1734
(717) 721-4740
(717) 738-6872
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP017217
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP035009
PA
363LF0000X
Family Nurse Practitioner
SP017217
PA
Other
Enumeration date
04/16/2017
Last updated
03/30/2026
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