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NPI Code Detail

MEDICARE: MRS. JULIE A MORDER LPN

MEDICARE: MRS. JULIE A MORDER LPN
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
1164W00000XLicensed Practical NursePN255070LPA

General Provider Information

NPI Number : 1558667238
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE A MORDER LPN
Provider Business Mailing Address
First Line : 620 WASHINGTON ST
Second Line :
City : HUNTINGDON
State : PA
Zip : 16652-1722
Country : US
Telephone Number : 814-643-0309
Fax Number : 814-643-5502
Provider Business Practice Location Address
First Line : 620 WASHINGTON ST
Second Line :
City : HUNTINGDON
State : PA
Zip : 16652-1722
Country : US
Telephone Number : 814-643-0309
Fax Number : 814-643-5502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2011
Last Update Date : 01/28/2011

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Directions to “ MRS. JULIE A MORDER LPN” Practice Location

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