Individual
LIBBY WEATHERILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 S HANOVER ST, NANTICOKE, PA 18634-3118
(570) 336-3416
Mailing address
729 S HANOVER ST, NANTICOKE, PA 18634-3118
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN309041
PA
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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