NPI | 1295865848 |
---|---|
Entity Type | Organization |
Authorized Contact | RANA A COLAIANNI Owner 570-329-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP00317A) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP00317A) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |