| NPI | 1043408826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL System Director 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS009287L) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2021-09-30 |