| NPI | 1245667120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROHRBACH CFO 570-268-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP013188) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013188) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |