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 |