Provider Demographics
NPI:1922871797
Name:BHANDARI, SUJATA (RN)
Entity Type:Individual
Prefix:
First Name:SUJATA
Middle Name:
Last Name:BHANDARI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CAMP HILL BYP STE 300
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-3700
Mailing Address - Country:US
Mailing Address - Phone:717-447-2828
Mailing Address - Fax:717-279-5890
Practice Address - Street 1:1200 CAMP HILL BYP STE 300
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-3700
Practice Address - Country:US
Practice Address - Phone:717-447-2828
Practice Address - Fax:717-279-5890
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PATLRN073436163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health