| NPI | 1144096116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A MINERD Office Manager 724-550-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2024-10-22 |