Sole Proprietor
NPI #1568845832 in Washington, Pennsylvania
Provider Information
- NPI Number
- 1568845832
- Entity Type
- Organization
- Organization Name
- Sole Proprietor
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 6, 2015
- Last Updated
- Jul 6, 2015
Practice Location
- Address
- 510 LOCUST AVE
- City
- Washington
- State
- Pennsylvania
- ZIP Code
- 15301-3331
- Phone
- (724) 222-2289
Authorized Official
- Name
- MICHELLE ALIN TRAPUZZANO, CRNP
- Title
- CERTIFIED NURSE PRACTITONER
- Phone
- (724) 222-2289
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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