Individual
PHALLEN MAGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNP
Contact information
Practice address
1321 11TH AVE, ALTOONA, PA 16601-3301
(814) 942-2411
Mailing address
11021 TREY RD, HUNTINGDON, PA 16652-9666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN595248
PA
363L00000X
Nurse Practitioner
Primary
SP028160
PA
Other
Enumeration date
11/09/2021
Last updated
09/05/2023
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