Organization
ALLEGHENY HEALTH NETWORK
Active
Other names
Slippery Rock Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINDA YEAGER (OFFICE MANAGER)
(724) 794-4009
Entity
Organization
Contact information
Practice address
621 KELLY BLVD, SLIPPERY ROCK, PA 16057-8523
(724) 774-4009
(724) 794-4099
Mailing address
621 KELLY BLVD, PO BOX 143, SLIPPERY ROCK, PA 16057-8523
(724) 774-4009
(724) 794-4099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016893
PA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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