| NPI | 1669272795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY WARRICK Owner 814-205-4957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 207Q00000X Family Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-05-19 |