Blue Ridge Medical Center
NPI #1164775342 in New Milford, Pennsylvania
Provider Information
- NPI Number
- 1164775342
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Center
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 25, 2012
- Last Updated
- Oct 25, 2012
Practice Location
- Address
- 433 CHURCH ST
- City
- New Milford
- State
- Pennsylvania
- ZIP Code
- 18834-6603
- Phone
- (570) 465-4500
Authorized Official
- Name
- DR. NICHOLE ROSA, CRNP
- Title
- OWNER
- Phone
- (607) 237-1209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
| Nurse Practitioner - Family — Family |
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