| NPI | 1093882144 |
|---|---|
| Doing Business As | WELLSPAN INTERNAL MEDICINE - RED LION |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA VEST Credentialing Supervisor 717-851-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2018-01-11 |