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 |