WALTER ELLSWORTH FASENMYER

SENECA, PA
NPI1558079384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: PA  SP026575)
Enumeration Date2022-11-10
Last Update Date2022-11-10
Business Address
Mr. WALTER ELLSWORTH FASENMYER CRNP
100 FAIRFIELD DR
SENECA, PA 16346-2130
Phone number: 814-676-7900
Mailing Address
Mr. WALTER ELLSWORTH FASENMYER CRNP
100 FAIRFIELD DR
SENECA, PA 16346-2130
Phone number: 814-676-7900
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