| NPI | 1407127012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE HYSKELL Billing Agent 814-952-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009632) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2023-08-21 |