Organization
LEBANON VALLEY MIDWIFERY AND WOMEN'S WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN N FARRELL MSN, CNM, CRNP-WH (DIRECTOR)
(717) 933-9743
Entity
Organization
Contact information
Practice address
770 HOST RD, WOMELSDORF, PA 19567-9100
(717) 933-9743
(717) 933-8289
Mailing address
770 HOST RD, WOMELSDORF, PA 19567-9100
(717) 933-9743
(717) 933-8289
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
SP010234
PA
367A00000X
Advanced Practice Midwife
Primary
MW010099
PA
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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