NPI | 1649223371 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY L MULL System Director Enrollments 570-271-6603 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
367A00000X Advanced Practice Midwife | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2020-03-31 |