NPI | 1760550883 |
---|---|
Doing Business As | WELLSPAN FAMILY MEDICINE - VALLEY GREEN |
Entity Type | Organization |
Authorized Contact | CHRISTINA VEST Credentialing Supervisor 717-851-1405 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2006-11-30 |
Last Update Date | 2018-01-11 |