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Contact Information

FARHANA BAGUM, CRNP
2605 WILLOW STREET PIKE N
WILLOW STREET, PA17584-9510
 Phone: 717-464-2838
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FARHANA BAGUM · (Female)

NPI # 1770307761
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 11/14/2024
Last updated 03/25/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • PA License # SP031338
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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