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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FARHANA BAGUM, CRNP

Active Sole Proprietor

FARHANA BAGUM, CRNP is a Primary Care Nurse Practitioner healthcare provider located in WILLOW STREET, Pennsylvania. NPI 1770307761 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · WILLOW STREET, PA

Registration Details

NPI Number
1770307761
Provider Type
Individual
Gender
Female
NPI Issued
Nov 14, 2024 (1.7049980967438 yrs)
Last Updated
Mar 25, 2025
License
SP031338 (PA)
Sole Proprietor
Yes

Practice Information

Address
2605 WILLOW STREET PIKE N
WILLOW STREET, PA, 175849510
Browse PA providers · Browse ZIP 17584
Phone
7174642838
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.