| NPI | 1124064019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MOATS Center Director 717-217-4312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2019-11-08 |