| NPI | 1144295957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE BEICHNER Executive Director 814-226-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 207V00000X Obstetrics & Gynecology | |
| 208600000X Surgery | |
| 2086S0129X | |
| 208800000X Urology | |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2025-09-11 |