institution
Dementia Connection Llc
Gerontology Nurse Practitioner in Scranton, Pennsylvania
NPI 1942503560

Dementia Connection Llc is a Gerontology Nurse Practitioner based in South Abington Township, PA and is specialized in Gerontology. Dementia Connection Llc practices in Scranton, PA. The NPI Number for Dementia Connection Llc is 1942503560 and holds a License No. VP000593C (Pennsylvania).

The current practice location address for Dementia Connection Llc is 2500 Adams Ave, Scranton, PA and can be reached out via phone at 570-343-4065 and via fax at 570-343-0448. You can also correspond with Dementia Connection Llc through the mailing address at 104 APPLE VALLEY CIR, SOUTH ABINGTON TOWNSHIP, PA - 18411-9498 (mailing address contact number: 570-586-0655).

Location: 2500 Adams Ave, Scranton, PA, 18411-9498
institution
Provider Profile Details
NPI Number
1942503560
Provider Name
Dementia Connection Llc
Credential
Provider Entity Type
Organization
Address
2500 Adams Ave, Scranton, PA, 18411-9498
Phone Number
570-343-4065
Fax Number
570-343-0448
Provider Enumeration Date
12/21/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1583600PABS 01 PA PA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2500 Adams Ave
City
State
Zip
18509-1515
Phone Number
570-343-4065
Fax Number
570-343-0448
person
Provider Business Mailing Address Details
Address
2500 Adams Ave
City
State
Zip
18509-1515
Phone Number
570-343-4065
Fax Number
570-343-0448
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
SP010872 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
VP000593C (Pennsylvania)
Definition
Definition to come...
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