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NPI Code Detail

MEDICARE: BERNARD NOSANCHUK APN

MEDICARE: BERNARD NOSANCHUK APN
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 NurseRN.357-100-COA1OH
2163WP0808XPsychiatric/Mental Health Registered NurseAP8015AZ
3363L00000XNurse PractitionerCOA.11347-NPOH
4363LP0808XPsychiatric/Mental Health Nurse PractitionerAP8015AZ
5363LP0808XPsychiatric/Mental Health Nurse PractitionerL8-0010446DE

General Provider Information

NPI Number : 1679709505
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARD NOSANCHUK APN
Provider Business Mailing Address
First Line : 650 NAAMANS RD STE 110
Second Line :
City : CLAYMONT
State : DE
Zip : 19703-2301
Country : US
Telephone Number : 302-224-1400
Fax Number :
Provider Business Practice Location Address
First Line : 650 NAAMANS RD STE 110
Second Line :
City : CLAYMONT
State : DE
Zip : 19703-2301
Country : US
Telephone Number : 302-224-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2009
Last Update Date : 06/27/2023

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Directions to “ BERNARD NOSANCHUK APN” Practice Location

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