| NPI | 1508104043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISSA L LOVE Revenue Cycle Supervisor 610-645-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012692) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2021-08-03 |