FAMILY PRACTICE

MOUNT CARMEL, PA
NPI1407237696
Entity TypeOrganization
Authorized ContactJOAN M CICCHIELLO
Executive
570-875-9434
Organization Subpart ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
Additional Taxonomies364SA2200X Clinical Nurse Specialist, Adult Health
(Licence: PA  TP006931C)
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: PA  SP009839)
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
Enumeration Date2015-06-12
Last Update Date2015-08-20
Business Address
FAMILY PRACTICE
601 W 5TH ST
MOUNT CARMEL, PA 17851-1803
Phone number: 570-875-9434
Mailing Address
FAMILY PRACTICE
601 W 5TH ST
MOUNT CARMEL, PA 17851-1803
Phone number: 570-875-9434
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