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Ibrahim T Beidari, CRNP
Family Nurse Practitioner in Harrisburg, Pennsylvania
NPI 1740636596

Ibrahim T Beidari is a Family Nurse Practitioner based in Harrisburg, PA and is specialized in Family. Ibrahim T Beidari practices in Harrisburg, PA and has the professional credentials of CRNP. The NPI Number for Ibrahim T Beidari is 1740636596 and holds a License No. SP016119 (Pennsylvania).

The current practice location address for Ibrahim T Beidari is 111 S Front St, Harrisburg, PA and can be reached out via phone at 717-782-3380 and via fax at 717-782-5716.

Location: 111 S Front St, Harrisburg, PA, 17104-1612
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Provider Profile Details
NPI Number
1740636596
Provider Name
Ibrahim T Beidari
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
111 S Front St, Harrisburg, PA, 17104-1612
Phone Number
717-782-3380
Fax Number
717-782-5716
Provider Enumeration Date
05/11/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103112700 05 PA
institution
Provider Business Practice Location Address Details
Address
111 S Front St
City
State
Zip
17101-2010
Phone Number
717-782-3380
Fax Number
717-782-5716
person
Provider Business Mailing Address Details
Address
111 S Front St
City
State
Zip
17101-2010
Phone Number
717-782-3380
Fax Number
717-782-5716
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
SP016119 (Pennsylvania)
Definition
Definition to come...
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