| NPI | 1659991594 |
|---|---|
| Doing Business As | STILL WATERS FAMILY HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRADLEY J. SHAW Owner 814-205-4025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2021-04-05 |