Organization
LIVING THE GREEN
Active
Parent organization
SUSTAIN HEALTH
Other names
Sustain Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUSTAIN HEALTH
Authorized official
DEANA MARIE VAVERCHAK CRNP (PRESIDENT)
(570) 840-1952
Entity
Organization
Contact information
Practice address
106 WISTERIA LN, ARCHBALD, PA 18403-1980
(570) 840-1952
Mailing address
106 WISTERIA LN, ARCHBALD, PA 18403-1980
(570) 840-1952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/09/2019
Last updated
03/03/2022
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