Cynthia Bubb, CRNP
Nurse Practitioner in Berwick, PA. Individual provider (NPI-1).
NPI number1871014142
StatusActive
Last updated in NPPESFeb 11, 2021
Details
- NPI
- 1871014142
- Entity type
- Individual (NPI-1)
- Name
- Cynthia Bubb
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2017
- Certification date
- Feb 11, 2021
- Last updated
- Feb 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP017596 | PA | Yes |
| 363LF0000X | Nurse Practitioner, Family | SP017596 | PA |
Other names
- Cindy Bubb (Professional Name)
Practice location
65 Briar Creek PlzBerwick, PA 18603-4100
Phone 570-802-5590
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144 · Fax 570-271-6578
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