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NPI Code Detail

MEDICARE: DARCY LYNN PANCIR N.P.

MEDICARE:   DARCY LYNN PANCIR  N.P.
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerSP016942PA

General Provider Information

NPI Number : 1801331046
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARCY LYNN PANCIR N.P.
Provider Business Mailing Address
First Line : 4500 WALNUT ST
Second Line : APT. 305
City : PHILADELPHIA
State : PA
Zip : 19139-4587
Country : US
Telephone Number : 631-807-9312
Fax Number :
Provider Business Practice Location Address
First Line : 2600 N AMERICAN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19133-3413
Country : US
Telephone Number : 215-739-2669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2016
Last Update Date : 12/26/2016

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