Geisinger Clinic
Psychiatry & Neurology, Neurology in Wilkes Barre, PA. Organization (NPI-2).
NPI number1497705925
StatusActive
Last updated in NPPESMar 31, 2020
Details
- NPI
- 1497705925
- Entity type
- Organization (NPI-2)
- Legal business name
- Geisinger Clinic
- Organization subpart
- No
- Enumeration date
- May 12, 2006
- Certification date
- Mar 31, 2020
- Last updated
- Mar 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
1000 E Mountain DrWilkes Barre, PA 18711
Phone 570-826-7300
Mailing address
100 N Academy AveDanville, PA 17822-3034
Authorized official
Cindy L Mull
System Director Enrollments
5702716603
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