| NPI | 1861534760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. BRYAN Projects Manager 814-949-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-08-08 |