| NPI | 1740965805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN ALTHOUSE Admninstrator 570-969-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |