| NPI | 1821890302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY LYN GALLAHER Fnp Bc 814-762-0527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 251S00000X Community/Behavioral Health | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |