Kyra Fetchina Nightingale
Technician, Attendant Care Provider in South Abington Township, PA. Individual provider (NPI-1).
NPI number1831748060
StatusActive
Last updated in NPPESSep 10, 2019
Details
- NPI
- 1831748060
- Entity type
- Individual (NPI-1)
- Name
- Kyra Fetchina Nightingale
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2019
- Last updated
- Sep 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
822 Fairview RdSouth Abington Township, PA 18411-9701
Phone 570-815-7411
Mailing address
822 Fairview RdSouth Abington Township, PA 18411-9701
Phone 570-815-7411
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