Organization
GI CONSULTANTS OF NEPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN ALTHOUSE (PRACTICE ADMINISTRATOR)
(570) 969-6100
Entity
Organization
Contact information
Practice address
517 ASH ST, SUITE 1, SCRANTON, PA 18509-2903
(570) 969-6100
Mailing address
517 ASH ST, SUITE 1, SCRANTON, PA 18509-2903
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1742209
BLUE SHIELD PROVIDER #
PA
Enumeration date
08/05/2007
Last updated
06/19/2023
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