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NPI Profile for HEATHER M KOWALISHEN in EAST STROUDSBURG, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1871007526 |
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| Status | Active | |
| Credentials | CRNP (Certified Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 11/16/2017 | |
| Last updated | 08/01/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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HEATHER M KOWALISHEN
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HEATHER M KOWALISHEN, CRNP