Individual
EDANA TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
Mailing address
116 HEMLOCK AVE, KANE, PA 16735-1615
(814) 558-5156
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP026967
PA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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