| NPI | 1083874770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL System Director 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 208000000X Pediatrics | |
| 282N00000X General Acute Care Hospital | |
| 291U00000X Clinical Medical Laboratory | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2020-03-31 |