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Organization
MOSHANNON VALLEY PSYCHIATRIC SERVICES, PC
Active
Organization
MOSHANNON VALLEY PSYCHIATRIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CRISCITELLO CRNP (NURSE PRACTITIONER, INCORPORATOR)
(814) 371-6877
Entity
Organization
Contact information
Practice address
90 BEAVER DR, SUITE 210D, DU BOIS, PA 15801-2440
(814) 371-6877
Mailing address
1348 GINTER MORANN HWY, HOUTZDALE, PA 16651-9541
(814) 553-5173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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