Thad J Neidrick CRNP

NPI 1225324171 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1225324171
Gender Male
Enumeration Date 06/20/2011
Last Updated 06/20/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
100 N ACADEMY AVE
DANVILLE PA, 17822-2770, US
Phone (570) 271-6369
Fax
Business Location
100 N ACADEMY AVE
CREDENTIALS DEPT
DANVILLE PA, 17822-4903, US
Phone (570) 271-6144
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Pennsylvania
License Number SP011433
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According to our database, Mr. Thad J Neidrick CRNP NPI is 1225324171, taxonomy code is 363L00000X and license number is SP011433, license state is located at Pennsylvania. Thad J Neidrick CRNP physically located at 100 N Academy Ave, Danville PA, 17822-2770. NPI Number Thad J Neidrick CRNP has the Individual type.

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1225324171 NPI number is provided on an as is basis without warranty of any kind. 1225324171 is maintained by the National Plan & Provider Enumeration System. The contents of Thad J Neidrick CRNP are for informational purposes only.