| NPI | 1073946794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY E FEDAN Provider/Owner 717-487-4316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2016-08-17 |