Living the Green
NPI #1053879940 in Archbald, Pennsylvania
Provider Information
- NPI Number
- 1053879940
- Entity Type
- Organization
- Organization Name
- Living the Green
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUSTAIN HEALTH
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 9, 2019
- Last Updated
- Mar 3, 2022
Practice Location
- Address
- 106 WISTERIA LN
- City
- Archbald
- State
- Pennsylvania
- ZIP Code
- 18403-1980
- Phone
- (570) 840-1952
Authorized Official
- Name
- DEANA MARIE VAVERCHAK, CRNP
- Title
- PRESIDENT
- Phone
- (570) 840-1952
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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