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Agnes Itunga
Licensed Practical Nurse in Mechanicsburg, Pennsylvania
NPI 1104568658

Agnes Itunga is a Licensed Practical Nurse based in Mechanicsburg, PA. Agnes Itunga practices in Mechanicsburg, PA. The NPI Number for Agnes Itunga is 1104568658 and holds a License No. PN304876 (Pennsylvania).

The current practice location address for Agnes Itunga is 920 Century Dr, Mechanicsburg, PA and can be reached out via phone at 717-766-6974 and via fax at 717-766-6975.

Location: 920 Century Dr, Mechanicsburg, PA, 17050-9105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104568658
Provider Name
Agnes Itunga
Credential
Provider Entity Type
Individual
Gender
Female
Address
920 Century Dr, Mechanicsburg, PA, 17050-9105
Phone Number
717-766-6974
Fax Number
717-766-6975
Provider Enumeration Date
04/13/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000642725 01 PA ID
institution
Provider Business Practice Location Address Details
Address
920 Century Dr
City
Mechanicsburg
State
Pennsylvania
Zip
17055-8417
Phone Number
717-766-6974
Fax Number
717-766-6975
person
Provider Business Mailing Address Details
Address
920 Century Dr
City
Mechanicsburg
State
Pennsylvania
Zip
17055-8417
Phone Number
717-766-6974
Fax Number
717-766-6975
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN304876 (Pennsylvania)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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