Organization
MOSHANNON VALLEY PSYCHIATRIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CRISCITELLO CRNP (NURSE PRACTITIONER, INCORPORATOR)
(814) 371-6877
Entity
Organization
Contact information
Practice address
90 BEAVER DR, SUITE 210D, DU BOIS, PA 15801-2440
(814) 371-6877
Mailing address
1348 GINTER MORANN HWY, HOUTZDALE, PA 16651-9541
(814) 553-5173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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