| NPI | 1699966978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN ALTHOUSE Practice Administrator 570-969-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-06-19 |