Doctor Name: | MRS. GINGER RENEE BRICKER |
NPI Number: | 1003191198 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | SP011602 |
Business Practice Address: | 890 Poplar Church Rd Camp Hill, PA - 170112250 |
Business Phone Number: | 7177243628 |
Business Fax Number: | |
Mailing Address: | 110 Edgewood Cir, CHAMBERSBURG |
State: | PA |
Postal Code: | 172023120 |
Phone Number: | 7172672832 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2011 |
NPI Last Update Date: | 01/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | SP011602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |