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NPI Code Detail

MEDICARE: MRS. BRITTNEY J BOMBERGER RN

MEDICARE:  MRS. BRITTNEY J BOMBERGER  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN622242PA

General Provider Information

NPI Number : 1912204678
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTNEY J BOMBERGER RN
Provider Business Mailing Address
First Line : 25 ROTHERMEL DR
Second Line :
City : YEAGERTOWN
State : PA
Zip : 17099-9707
Country : US
Telephone Number : 717-248-8197
Fax Number : 717-248-6449
Provider Business Practice Location Address
First Line : 25 ROTHERMEL DR
Second Line :
City : YEAGERTOWN
State : PA
Zip : 17099-9707
Country : US
Telephone Number : 717-248-8197
Fax Number : 717-248-6449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2011
Last Update Date : 02/16/2011

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Directions to “ MRS. BRITTNEY J BOMBERGER RN” Practice Location

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