| NPI | 1235181645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL System Director Enrollments 570-271-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-03-13 |