| NPI | 1396796868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL System Director Enrollments 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207LC0200X Anesthesiology, Critical Care Medicine | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-04-09 |