Individual
MARY ALYCE BHASKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4230 CRUMS MILL RD STE 100, HARRISBURG, PA 17112-2898
(717) 233-6171
Mailing address
736 SCHOOL HOUSE PLZ, ANNVILLE, PA 17003-2235
(610) 750-1141
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP028051
PA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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