| NPI | 1487081832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY A BANFIELD Office Manager 814-471-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP013126) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |