AREVIK BAGDASAROVA


Address: 312 W Providence Rd, Aldan, PA 19018-3830
Phone: 2675285802

AREVIK BAGDASAROVA (NPI# 1427666759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427666759
Entity Type Individual
Full Name AREVIK BAGDASAROVA
Credential CRNP
Practice Address 312 W Providence Rd
Aldan
PA 19018-3830
Practice Telephone 2675285802
Mailing Telephone 2675285802
Enumeration Date 2020-07-22
Last Update Date 2020-07-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
SP021539 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 312 W PROVIDENCE RD
City ALDAN
State PA
Zip Code 19018-3830

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City ALDAN
Zip Code 19018

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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